Journal of Endovascular Resuscitation and Trauma Management · Published 2026-05-19 · DOI 10.26676/jevtm.60257
Yuliia Nahaliuk
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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Nahaliuk, Y. (2026). Erosive Bleeding After Battlefield Vascular Reconstruction: A Case Report and Practical Lessons. Journal of Endovascular Resuscitation and Trauma Management. https://doi.org/10.26676/jevtm.60257