Aabdi M, Jabi R, Mellagui Y, Bkiyar H, Bouzinae M, Housni B. Inferior vena cava injury after blunt trauma: Case report.
Int J Surg Case Rep 2021;
81:105791. [PMID:
33773374 PMCID:
PMC8024919 DOI:
10.1016/j.ijscr.2021.105791]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 03/15/2021] [Accepted: 03/16/2021] [Indexed: 11/23/2022] Open
Abstract
Inferior vena cava injury is a rare injury with high rate mortality.
Few clinical cases have described the clinical findings and radiologic appearance of this kind of injury.
We describe a rare clinical case of inferior vena cava hematoma.
The management depends on the hemodynamic stability of the patient and the level of injury, it might be surgical, endoscopic.
Introduction
inferior vena cava IVC injury is rare with lethal outcomes, the clinical signs depends on the location and associated injuries, andt he treatment might be endovascular, surgical.
Clinical case
A 25 years with no medical history was admitted to the emergency department after a car accident. After intubation and hemodynamic stabilization, the computerized tomography CT scan showed hepatic laceration with a rupture of the IVC in the retro-hepatic portion, he was admitted to the operation room for damage control laparotomy; the patient died 12 h after the operation despite appropriate management.
Conclusion
IVC are rare and lethal, the CT scan remains the gold standard and the evolution of endovascular techniques decreased the mortality rate.
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