Document Detail

Aortic balloon control of a traumatic aortoenteric fistula after damage control laparotomy: a case report.
MedLine Citation:
PMID:  8656457     Owner:  NLM     Status:  MEDLINE    
Aortoenteric fistula is a rare complication of abdominal trauma. We present a case of a patient with multiple gunshot wounds to the abdomen and thorax in whom control of injury required staged operations. An aortoenteric fistula developed, presenting a diagnostic and therapeutic challenge. The operative control of aortic bleeding was by a retroperitoneal approach to the aorta and facilitated by the use of percutaneous aortic balloon catheters. The patient survived to leave hospital. This case highlights a rare trauma complication, the use of "damage control" for the severely injured abdomen and the technique of intra-arterial balloon control of bleeding from inaccessible locations.
C W Schwab; D J McMahon; G Phillips; M J Pentecost
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  40     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-07-30     Completed Date:  1996-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1021-3     Citation Subset:  AIM; IM    
Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
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MeSH Terms
Abdominal Injuries / complications,  surgery*
Aortic Diseases / therapy*
Balloon Dilatation*
Fistula / etiology,  therapy*
Intestinal Fistula / etiology,  therapy*
Wounds, Gunshot / surgery*

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