| Isolated infrarenal caval disruption secondary to minimal blunt trauma. | |
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MedLine Citation:
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PMID: 20932712 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Injuries to the inferior vena cava (IVC) are highly lethal and are usually associated with gunshot wounds. Blunt injury to the IVC is a rare entity that is usually located in the retrohepatic space. We present the case of an infrarenal caval disruption in a 9-year-old as a result of minimal blunt trauma. A computed tomography scan showed that the patient had a large retroperitoneal hematoma associated with IVC disruption and proximal thrombus just below the renal veins. There was no evidence of either arterial or other intra-abdominal injuries. The patient had a fall in hematocrit and abdominal tenderness prompting operative exploration. Before laparotomy, bilateral balloon occlusion devices were placed in both femoral veins. The patient was noted to have a total disruption of his IVC just above the origin of his iliac veins. The anterior two-third of the IVC was avulsed, thus leaving the posterior portion against the retroperitoneum. Given the patient's hemodynamic instability and amount of venous damage, the IVC was oversewn and a damage control operation was undertaken. The following day, the patient was brought back to the operating room for a second-look laparotomy and abdominal closure. A pathologic examination revealed a high-grade spindle cell sarcoma. Blunt injury to the IVC is a rare entity and its location outside of the retrohepatic space should alert the surgeon to a potential underlying malignant etiology. |
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Authors:
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Justin Hurie; Peter Ehrlich; Valerie Castle; Jonathan L Eliason |
Publication Detail:
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Type: Journal Article Date: 2010-10-08 |
Journal Detail:
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Title: Annals of vascular surgery Volume: 25 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 132.e13-5 Citation Subset: IM |
Copyright Information:
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Published by Elsevier Inc. |
Affiliation:
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Section of Vascular Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI. |
Export Citation:
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Descriptor/Qualifier:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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