case_images: PMC11832496_01
case_images: Stab wounds on the left lower extremity. (A) Wound on the lateral aspect of the left thigh; (B) Wound on the medial aspect of the left thigh; (C) Wound on the medial aspect of the left lower leg; (D) Wounds on the lateral aspect of the left lower leg.
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case_images: PMC11832496_01_fcvm-12-1552037-g001.jpg
case_images: F1
case_images: Physical examination revealed multiple stab wounds on the left lower extremity: one on the lateral aspect of the left thigh (2 cm, Figure 1A), one on the medial aspect of the left thigh (1 cm, Figure 1B), one on the medial aspect of the left lower leg (7 cm, Figure 1C), and two on the lateral aspect of the left lower leg (2 cm each, Figure 1D).
case_images: Imaging findings. (A) Contrast-enhanced CT of the lower extremities, with the red arrow indicating rupture and bleeding of the left femoral artery, with extravasation of contrast agent visible; (B) Ultrasound image of the inferior vena cava; (C) Echocardiographic image of the heart.
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case_images: PMC11832496_01_fcvm-12-1552037-g002.jpg
case_images: F2
case_images: After initial stabilization, contrast-enhanced CT of the lower extremities revealed a rupture of the left femoral artery and vein (Figure 2A). Evaluation showed an inferior vena cava diameter of 1.97 cm (Figure 2B) and a left ventricular ejection fraction (EF) of 37.2% on echocardiography (Figure 2C), indicating post-cardiac arrest myocardial injury and cardiogenic shock.
case_images: Patient's treatment course.
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case_images: F3
case_images: The clinical course is summarized in Figure 3.