Blunt trauma to the external iliac or common femoral artery is relatively r
are. Since its original description as the "motor-scooter handlebar syndrom
e," this type of injury has been hypothesized as resulting from compression
of the artery by the inguinal ligament, We report a case of mirror-image a
rterial injuries from blunt trauma. At operation, each distal external ilia
c and proximal common femoral artery was found to have large intimal flaps.
Resection of the injured segments with bilateral saphenous vein interposit
ion grafts led to a successful outcome.