• Emily Bokser, William Caputo, Barry Hahn, and Josh Greenstein.
• Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, United States.
• Am J Emerg Med. 2018 Feb 1; 36 (2): 340.e1-340.e2.

BackgroundAxillary artery injuries can be associated with both proximal humeral fractures (Naouli et al., 2016; Ng et al., 2016) [1,2] as well as shoulder dislocations (Leclerc et al., 2017; Karnes et al., 2016) [3,4]. We report a rare case of an isolated axillary artery truncation following blunt trauma without any associated fracture or dislocation.Case ReportA 58-year-old male presented to the emergency department for evaluation after falling on his outstretched right arm. The patient was found to have an absent right radial pulse with decreased sensation to the right arm. Point of care ultrasound showed findings suspicious for traumatic axillary artery injury, and X-rays did not demonstrate any fracture. Computed tomography with angiography confirmed axillary artery truncation with active extravasation. The patient underwent successful vascular repair with an axillary artery bypass. Although extremity injuries are common in emergency departments, emergency physicians need to recognize the risk for vascular injuries, even without associated fracture or dislocation.Copyright © 2017 Elsevier Inc. All rights reserved.

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