Prague Medical Report is an English quarterly published multidisciplinary biomedical journal. Prague Medical Report was founded as Sborník lékařský in May 1885. The journal presents public primary scientific publications, short communications, casuistry, and reviews. It contains articles based on important specialised lectures and symposia.

PRAGUE MEDICAL REPORT, Vol 116 No 3 (2015), 239–243

Acute Digital Ischemia Associated with Closed Injury

David Janák, David Ručka, Jaroslav Kudlička, Vilém Rohn, Jaroslav Linder, Otomar Kittnar

announced: 09. 10. 2015


Injury of an artery has a significantly worse prognosis for the patient than a venous injury. Blunt injuries of lower limb digital arteries with the development of acute ischemia present a very rare phenomenon. A crush mechanism with a defect of the non-wetted surface of vessel’s inner part and the development of subsequent thromboischemic lesion is essential for the development of ischemia. We report a blunt injury of the right lower limb in a patient after incorrect stepping with subsequent lesion of digital arteries and the development of acute acral ischemia of the right toes.

keywords: Ischemia; Trombolysis; Closed injury

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ISSN: 1214-6994
E-ISSN: 2336-2936