DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.100

Pages: 1286-1289

Introduction: Iatrogenic vascular injury after orthopedic manipulation is rare but potentially limb-threatening. External iliac artery injury following closed femoral reduction is exceptional and may lead to acute limb ischemia. Case Report: We report a young adult who developed acute left lower limb ischemia a few hours after closed femoral fracture reduction. Initially, distal pulses were normal, but the patient later presented with severe pain, pallor, coldness, and absent pulses. CT angiography showed an occlusion of the external iliac artery. Acute limb ischemia of iatrogenic origin was diagnosed. Urgent operative management was performed, involving resection of the external iliac artery and reconstruction with an autologous venous interposition bypass graft. Conclusion: External iliac artery injury after closed femoral reduction is rare but serious. Careful vascular monitoring after reduction and early imaging are essential to avoid delayed diagnosis and prevent limb loss.