No abstract

Vascular injuries secondary to isolated shoulder dislocation are rare. Unawareness for closed axillary artery trauma by many physicians treating shoulder dislocations, counts often for missed or delayed diagnosis. The authors describe two cases that presented with an anterior shoulder dislocation, complicated by a disruption of the axillary artery with subsequent thrombosis. The various pathogenic mechanisms are discussed. The pathognomic triad consists of anterior shoulder dislocation, absent or diminished distal pulse and an axillary protruding hematoma. Prompt surgical arterial repair is mandatory.

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We report a case of primary aortogastric fistula with erosion of a mycotic aneurysm of the upper abdominal aorta into the stomach. The patient was successfully operated on with an in situ aortoaortic tube graft, incorporating the splanchnic vessels, and direct suture of the gastric erosion.

Popliteal vein aneurysm is a rare cause of pulmonary embolism. We present the case of a 39-year-old man with multiple pulmonary emboli. Subsequent investigation revealed a saccular aneurysm of the right popliteal vein containing large clots. The presence of fresh thrombus was confirmed at surgery which consisted in excision of the saccular aneurysm with vein patch closure. Primary popliteal venous aneurysms are probably congenital in origin. Phlebography is diagnostic. Surgery is recommended.