An unusual case of a nonhealing iatrogenic foot ulcer in a man with a remote history of a gunshot wound to the affected limb is presented. The patient had an untreated arteriovenous fistula of the popliteal artery and vein due to a gunshot wound 36 years ago. The etiology and management of such fistulae are discussed.
References
1.
1. Graham A, Barros D'Sa A: Missed arteriovenous fistulae and false aneurysms in penetrating lower limb trauma: Relearning old lessons. Br J Accident Surg22:179-182, 1991.
2.
2. Graham A, Henderson S, McCoy G, et al: Delayed presentation of bilateral popliteal artery injury. Eur J Vasc Surg6:673-676, 1992.
3.
3. Morano J, Burkhalter J, Daniel C Jr: Bilateral popliteal arteriovenous fistulas. J Trauma27:577-578, 1987.
4.
4. Melliere D, Hassen-Khodja R, Cormier J-M, et al: Proximal arterial dilatation developing after surgical closure of long-standing posttraumatic arteriovenous fistula. Ann Vasc Surg11:391-396, 1997.
