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- W4366447452 abstract "Abstract Background Peripheral varicose veins are common condition. A rupture of an imperceptible varicose vein can cause a fatal hemorrhage. Patients should be informed that surgery can aggravate varicose veins and cause them to rupture in the lower extremities, which are prone to varicose vein formation. Case presentation: An 86-year-old male patient underwent open repair and fixation of a left ankle joint fracture 10 years prior to presentation. He had no specific symptoms; however, he suddenly began bleeding profusely from his left lower extremity during work and was rushed to the emergency room. He was in shock during transport; therefore, he was administered fluids and pressure hemostasis before arriving at the hospital. A 5 mm ulcer was observed in the left ankle joint, which was urgently removed after high-level ligation, including the varicose vein, and his circulation stabilized. The postoperative course was uneventful, the ulcer closed, and the patient was discharged on the second day. The histopathological examination revealed a suture in the outflow tract from the varicose vein that may have been caused by surgery to the previous left ankle joint fracture, and an organizing thrombus may have formed as a result. Conclusions We experienced a case of shock due to a varicose vein rupture with an unidentifiable bleeding point on site. This case highlights the necessity to inform patients with vein ligation about the possibility of varicose vein formation in the periphery and brings awareness to emergency staff who handle bleeding cases that a ruptured peripheral varicose vein could be the cause." @default.
- W4366447452 created "2023-04-22" @default.
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- W4366447452 date "2023-04-19" @default.
- W4366447452 modified "2023-09-27" @default.
- W4366447452 title "A case of near-fatal bleeding due to ruptured peripheral varicose veins as a consequence of previous orthopedic surgery" @default.
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- W4366447452 doi "https://doi.org/10.21203/rs.3.rs-2818107/v1" @default.
- W4366447452 hasPublicationYear "2023" @default.
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