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January 1966

Unusual Source for Peripheral Arterial Embolization: A Case Report

Author Affiliations

From the departments of surgery and radiology, University of Basle.

Arch Surg. 1966;92(1):105-106. doi:10.1001/archsurg.1966.01320190107025

MORE THAN 80% of peripheral emboli originate in the heart. Other sources are rare and include aneurysms of thoracic and abdominal aorta as well as of more distant arterial trunks, or thrombosis imposed on lesions of the aortic wall (aortite en plaque).

The case to be described is of some interest because diagnosis of a traumatic false aneurysm as source for embolization was preceded by three embolic episodes and could not be established by aortography.

Report of Case  A 40-year-old man was involved in a traffic accident. He was admitted to a hospital in profound shock, from which he recovered only after several days. Close observation did not reveal any source of internal hemorrhage and the shock could only be attributed to blood loss by posterior dislocation of the right femoral head with fracture of the acetabular rim. From the beginning there were symptoms of sciatic nerve compression and on

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