Document Detail

Azygous vein laceration secondary to blunt thoraco-abdominal trauma.
MedLine Citation:
PMID:  20576652     Owner:  NLM     Status:  MEDLINE    
Less than 25 cases of azygous vein lacerations secondary to blunt trauma have been published in the medical literature, most of these injuries were resulting from motor vehicle accidents, but have been described due to falls or assaults. These lesions should be considered as thoracic great vessels injuries and if not recognized promptly carry a high morbidity and mortality. We report a case of a young male involved in a high-speed car collision, admitted to the emergency room in an unstable condition secondary to hypovolemic shock due to azygous vein injury. The patient underwent emergent right antero-lateral thoracotomy followed by sternotomy for surgical control of the vascular injury and resuscitation. Laparotomy and splenectomy were also required, the abdomen was closed. The thoracic cavity was left packed and closure was delayed for 48 h. The patient survived and was transferred to another hospital seven days later.
Santiago A Endara; Gerardo A Davalos; Maria F Nuñez; Jaime E Manzano
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-24
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  342-4     Citation Subset:  IM    
Division of Cardiothoracic Surgery, Department of Surgery, Hospital Metropolitano, Quito, Ecuador.
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MeSH Terms
Abdominal Injuries / complications*,  radiography,  surgery
Accidents, Traffic*
Azygos Vein / injuries*,  surgery
Shock / etiology
Thoracic Injuries / complications*,  radiography,  surgery
Treatment Outcome
Vascular Surgical Procedures
Wounds, Nonpenetrating / complications*,  radiography,  surgery

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