Erosive Bleeding After Battlefield Vascular Reconstruction: A Case Report and Practical Lessons

Authors

  • Yuliia Nahaliuk National Military Medical Clinical Center, Kyiv, Ukraine

DOI:

https://doi.org/10.26676/jevtm.60257

Keywords:

Vascular Injury, Autovenous Bypass, Erosive Bleeding, Combat Trauma, Limb Salvage, Negative Pressure Wound Therapy

Abstract

Vascular injuries in modern warfare are frequently complex and contaminated and are associated with a high risk of secondary complications. Erosive bleeding after vascular reconstruction represents a limb- and life-threatening condition. We report a case of combined gunshot and shrapnel injury to both upper extremities in a soldier, initially treated with temporary vascular shunting and subsequent autovenous reconstruction. The postoperative course was complicated by erosive bleeding at the graft site, requiring urgent reoperation and staged wound management. Limb perfusion was successfully preserved. This case illustrates the importance of shunting, repeated surgical assessment, aggressive infection control and staged reconstruction strategies in contaminated combat-related vascular injuries.

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Published

2026-05-19

How to Cite

Nahaliuk, Y. (2026). Erosive Bleeding After Battlefield Vascular Reconstruction: A Case Report and Practical Lessons. Journal of Endovascular Resuscitation and Trauma Management, 10(1), 42–45. https://doi.org/10.26676/jevtm.60257

Issue

Vol. 10 No. 1 (2026)

Section

Case Reports

License

Copyright (c) 2026 Yuliia Nahaliuk

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