{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:26:47Z","timestamp":1773224807023,"version":"3.50.1"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Chronic leg ulcers are one of the clinical manifestations of untreated traumatic arteriovenous fistula (AVF). Ulcers due to secondary venous etiology like AVF are rare and easily missed. We present the case of a 31-year-old male who sustained a gunshot injury to the knee 12\u00a0years ago. Despite the absence of varicose veins, he presented with a neglected venous ulcer persisting for 2\u00a0years. A computed tomographic venogram revealed an AVF in the supra-genicular popliteal artery and vein. The patient subsequently underwent open surgical correction. Complete ulcer healing was achieved in 6\u00a0months. This case underscores the potential for a high-flow post-traumatic AVF to induce a non-healing venous ulcer even in the absence of apparent varicose veins. Secondary causes of chronic venous diseases are often overlooked, leading to complications. Early recognition is crucial to preventing further morbidity.<\/jats:p>","DOI":"10.1093\/jscr\/rjae535","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T17:42:10Z","timestamp":1724866930000},"source":"Crossref","is-referenced-by-count":2,"title":["A traumatic arteriovenous fistula causing venous insufficiency"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9917-3205","authenticated-orcid":false,"given":"John","family":"Shelton","sequence":"first","affiliation":[{"name":"Professorial Surgical Unit, Teaching Hospital Jaffna , Jaffna, 40000 , Srilanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanthana","family":"Marasinghe","sequence":"additional","affiliation":[{"name":"Vascular and Transplant Unit, Colombo North Teaching Hospital , Ragama, 11010 , Srilanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,29]]},"reference":[{"key":"2024082922241149000_ref1","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.mpsur.2018.12.005","article-title":"Varicose veins and their management","volume":"37","author":"Onida","year":"2019","journal-title":"Surgery (Oxford)"},{"key":"2024082922241149000_ref2","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1055\/s-0031-1278313","article-title":"Diagnosis and management of acute traumatic arteriovenous fistula","volume":"17","author":"Nagpal","year":"2008","journal-title":"Int J Angiol"},{"key":"2024082922241149000_ref3","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1177\/1534734612454433","article-title":"Leg ulcer as a complication of a posttraumatic tibial arteriovenous fistula treated by endovascular approach with stent-graft placement","volume":"11","author":"Rabellino","year":"2012","journal-title":"Int J Low Extrem Wounds"},{"key":"2024082922241149000_ref4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.tcr.2016.03.004","article-title":"Chronic leg swelling and palpitation as a late complication of post-traumatic arteriovenous fistula: a case report","volume":"2","author":"Kalender","year":"2016","journal-title":"Trauma Case Rep"},{"key":"2024082922241149000_ref5","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/0741-5214(93)90611-O","article-title":"Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula","volume":"18","author":"Marin","year":"1993","journal-title":"J Vasc Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/8\/rjae535\/58963076\/rjae535.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/8\/rjae535\/58963076\/rjae535.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T22:46:59Z","timestamp":1724971619000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae535\/7745036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae535","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,8]]},"published":{"date-parts":[[2024,8,1]]},"article-number":"rjae535"}}