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A case of intraluminal protrusion of completely disrupted intima of the external iliac artery caused by blunt trauma to the inguinal ligament has been presented. There was no associated bony fracture. At the time of surgical exploration, no distortion of the external appearance of the involved artery was found. Because of the distance of subintimal dissection with thrombosis, a vascular prosthesis was inserted between the external iliac artery and common femoral artery by end-to-end anastomoses. The involved segment was resected. The patency of the graft was documented by arteriographic evidence and the presence of peripheral pulsation. A detailed account of this particular type of acute arterial injury has been made with a brief review of the literature.
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Received: December 21, 1963
☆Presented in part at the Twenty-First Sectional Meeting of the Japanese Association of Circulation, Oct. 12, 1963, Morioka, Japan.
© 1965 Published by Elsevier Inc.