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CC BY 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences
DOI: 10.1055/s-0045-1812289
Case Report

Complete Transection of the Superficial Femoral Artery from Blunt Trauma without Fracture: A Cautionary Tale

Autoren

  • Ashref S. Tarhuni

    1   Department of Surgery, College of Medicine, University of Ajdaiya, Ajdabia, Libya

  • Abdugadir M. Abdulrahman

    1   Department of Surgery, College of Medicine, University of Ajdaiya, Ajdabia, Libya

  • Jamal A. Alsharif

    1   Department of Surgery, College of Medicine, University of Ajdaiya, Ajdabia, Libya

  • Ayoup Elmhdwi

    2   Department of Surgery, College of Medicine, University of Benghazi, Benghazi, Libya

Funding and Sponsorship None.
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Abstract

Background

Vascular injuries to the superficial femoral artery (SFA) typically occur due to penetrating trauma or are associated with fractures. Complete transection of the SFA from blunt trauma in the absence of bone injury or skin penetration is exceedingly rare.

Case Description

A 67-year-old male presented 72 hours after blunt trauma from a vehicle collision with right lower limb ischemia. Imaging revealed a complete occlusion/block of the distal SFA without associated fracture. Emergency revascularization using a 7-mm polytetrafluoroethylene interposition graft, following fasciotomy, was successfully performed.

Conclusion

This case underscores the importance of maintaining a high index of suspicion for arterial injury following blunt trauma, even in the absence of fractures. Timely imaging and surgical intervention are crucial to prevent limb-threatening complications. This case represents a rare but critical clinical entity, with very few cases of isolated blunt SFA transection without fracture documented in the literature.

Keywords

superficial femoral artery - blunt trauma - vascular injury - PTFE graft - limb salvage - trauma without fracture

Authors' Contributions

Equal contribution. All authors contributed to the drafting, revising, and finalizing of the manuscript.


Patients' Consent

The authors confirm that they have obtained the consent of the patients for publication on anonymized basis. Neither the clinical details nor the images allow identification of the patient.


Compliance with Ethical Principles

No ethical approval is required for the reporting of single cases or small case series.




Publikationsverlauf

Artikel online veröffentlicht:
14. Oktober 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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