Brachial Artery Injury Resulting From a Dog Bite in a Pediatric Patient: A Case Report.

animal bite dog bite wounds pediatric saphenous vein graft (svg) trauma traumatic vascular injury upper extremity ischemia wound exploration

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Sep 2023
Historique:
accepted: 24 09 2023
medline: 27 10 2023
pubmed: 27 10 2023
entrez: 27 10 2023
Statut: epublish

Résumé

Pediatric trauma surgeons frequently encounter severe injuries from animal bites, with dog bites being especially prevalent in children, often leading to facial injuries. This paper details the case of a six-year-old male who suffered a dog bite resulting in a rare proximal right brachial artery injury. The bite caused deep lacerations and avulsion injuries, prompting admission to the trauma center, where nonpalpable right radial and ulnar pulses and arm weakness were observed. Surgical intervention, including wound exploration and brachial artery repair using a saphenous vein graft, successfully restored vascular perfusion. This case underscores the urgency of addressing pediatric dog bite injuries through timely exploration, thorough irrigation, and antibiotic prophylaxis, while also highlighting the need for further research on preventive education and clinical guidelines for assessing vascular injuries in such cases.

Identifiants

pubmed: 37885488
doi: 10.7759/cureus.45889
pmc: PMC10599209
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e45889

Informations de copyright

Copyright © 2023, Meknarit et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

JAAPA. 2018 Apr;31(4):27-31
pubmed: 30973531
Injury. 2014 Jan;45(1):237-40
pubmed: 23916901
Can J Public Health. 2019 Jun;110(3):364-375
pubmed: 30378009
J Vasc Surg. 2013 Nov;58(5):1346-52
pubmed: 23891489
World J Pediatr Surg. 2022 Feb 7;5(2):e000281
pubmed: 36474513
Am Surg. 2010 Feb;76(2):203-5
pubmed: 20336901
Cochrane Database Syst Rev. 2009 Apr 15;(2):CD004726
pubmed: 19370606
Infect Dis Clin North Am. 2021 Mar;35(1):219-236
pubmed: 33494873
BMJ Clin Evid. 2010 Jul 27;2010:
pubmed: 21418668
Plast Reconstr Surg. 2017 Nov;140(5):1008-1022
pubmed: 29068939
Ann Vasc Surg. 2018 May;49:314.e5-314.e10
pubmed: 29481925
Am Surg. 2021 Dec;87(10):1612-1615
pubmed: 34130512
Hand (N Y). 2016 Dec;11(4):469-474
pubmed: 28149216
MMWR Recomm Rep. 2008 May 23;57(RR-3):1-28
pubmed: 18496505

Auteurs

Sarinya Meknarit (S)

Surgery, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.

Adam J Mann (AJ)

General Surgery, Florida Atlantic University, Boca Raton, USA.

Faris Azar (F)

Surgery, St. Mary's Medical Center, West Palm Beach, USA.

Robert Borrego (R)

Surgery, St. Mary's Medical Center, West Palm Beach, USA.

Classifications MeSH