INTRODUCTION: Endovascular treatment of blunt @entity1545 has been infrequently reported. PRESENTATION: A 27-year-old @entity1 was crushed between a fork-lift truck and a concrete platform. The physical examination was remarkable for hemodynamic stability, significant lower abdominal ecchymosis and @entity925 , @entity174 , and gross @entity811 . Vascular examination revealed no femoral pulses, no pedal signals bilaterally, and minimal left leg and no right leg motor function. Arteriograms revealed right common iliac artery and external @entity432 and a 2-cm near occlusion of the left external iliac artery. TREATMENT: In the operating room, bilateral common femoral artery access was obtained, and retrograde arteriogram on the right side demonstrated free extravasation of contrast material at the level of the proximal external iliac artery. An angled glide wire was successfully traversed over the @entity1317 , and two covered stents (Wallgraft, 10 x 50 mm and 8 x 30 mm) were deployed. The @entity130 was similarly treated with an 8 x 30-mm covered stent. After @entity291 fasciotomy, exploratory laparotomy revealed a severe sigmoid @entity1049 , requiring resection and colostomy. A suprapubic catheter was placed because of @entity1494 , and an open-book pelvic @entity174 was treated with external fixation. Postoperatively the @entity1 regained palpable bilateral pedal pulses and normal left leg function, but right @entity912 persisted secondary to severe lumbar @entity128 . CONCLUSION: Endovascular repair of blunt intra-abdominal @entity1317 is possible and should be particularly considered when fecal contamination, pelvic @entity1410 , or multiple associated injuries make conventional repair problematic.

Acute bilateral XXXX secondary to blunt @entity130 : successful endovascular treatment.

@entity1545 :: ('MESH:D020214', 'Disease') :: ['vascular trauma'] @entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture', 'obvious pelvic fracture'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder rupture'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['vascular injury', 'arterial injuries'] @entity1049 :: ('MESH:D003108', 'Disease') :: ['colon degloving injury'] @entity128 :: ('MESH:D020209', 'Disease') :: ['plexus nerve injury'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity432 :: ('MESH:D001157', 'Disease') :: ['iliac artery occlusion'] @entity811 :: ('MESH:D006417', 'Disease') :: ['hematuria'] @entity925 :: ('MESH:D063806', 'Disease') :: ['tenderness'] @entity291 :: ('9913', 'Species') :: ['calf'] @entity912 :: ('MESH:D010243', 'Disease') :: ['leg paralysis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['left iliac injury']
@entity432 :: (MESH:D001157,Disease) :: ['iliac artery occlusion']
