Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Extensive Inferior Vena Cava Injury Following Blunt Abdominal Trauma: A Case Report

복부 둔상 후에 발생한 광범위한 하대정맥 손상: 증례보고

  • Yoo, Young Sun (Department of Surgery, Chosun University, School of Medicine) ;
  • Mun, Seong Pyo (Department of Surgery, Chosun University, School of Medicine)
  • 유영선 (조선대학교 의과대학 외과학교실) ;
  • 문성표 (조선대학교 의과대학 외과학교실)
  • Received : 2014.11.10
  • Accepted : 2014.12.02
  • Published : 2014.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Traumatic injuries of the inferior vena cava (IVC) are the most challenging lesions in abdominal vascular injuries and are associated with a high mortality rate. Although endovascular treatment has been addressed in the management of vascular trauma, surgery is the mainstay in the treatment for IVC injury as an endovascular technique for the venous system has not been developed. We report a case of successful surgical repair of an extensive IVC laceration following a fall.

Keywords

References

  1. Jackson MR, Olson DW, Beckett WC, Jr., Olsen SB, Robertson FM. Abdominal vascular trauma: a review of 106 injuries. Am Surg 1992; 58: 622-6.
  2. Ombrellaro MP, Freeman MB, Stevens SL, Diamond DL, Goldman MH. Predictors of survival after inferior vena cava injuries. Am Surg 1997; 63: 178-83.
  3. Buckman RF, Pathak AS, Badellino MM, Bradley KM. Injuries of the inferior vena cava. Surg Clin North Am 2001; 81: 1431-47. https://doi.org/10.1016/S0039-6109(01)80016-5
  4. Porter JM, Ivatury RR, Islam SZ, Vinzons A, Stahl WM. Inferior vena cava injuries: noninvasive follow-up of venorrhaphy. J Trauma 1997; 42: 913-7. https://doi.org/10.1097/00005373-199705000-00023
  5. Tyburski JG, Wilson RF, Dente C, Steffes C, Carlin AM. Factors affecting mortality rates in patients with abdominal vascular injuries. J Trauma 2001; 50: 1020-6. https://doi.org/10.1097/00005373-200106000-00008
  6. Sullivan PS, Dente CJ, Patel S, Carmichael M, Srinivasan JK, Wyrzykowski AD, et al. Outcome of ligation of the inferior vena cava in the modern era. Am J Surg 2010; 199: 500-6. https://doi.org/10.1016/j.amjsurg.2009.05.013
  7. Gabriele Piffaretti GC, Filippo Piacentino, Patrizio Castelli. Traumatic IVC Injury Repair: The Endovascular Alternative. Endovascular today 2013; 11: 39-44.
  8. Kuehne J, Frankhouse J, Modrall G, Golshani S, Aziz I, Demetriades D, et al. Determinants of survival after inferior vena cava trauma. Am Surg 1999; 65: 976-81.
  9. Rosengart MR, Smith DR, Melton SM, May AK, Rue LW, 3rd. Prognostic factors in patients with inferior vena cava injuries. Am Surg 1999; 65: 849-55.
  10. Lenworth Jacobs SL. Advanced trauma operative management. 2nd ed: American college of surgeons; 2010.
  11. Carr JA, Kralovich KA, Patton JH, Horst HM. Primary venorrhaphy for traumatic inferior vena cava injuries. Am Surg 2001; 67: 207-13.
  12. Adhikary S, Shakya VC, Dhungel K, Rajbanshi S, Shakya V, Khaniya S, et al. Inferior vena cava injury repair, a successful outcome. Nepal Medical College journal 2012; 14: 68-70.
  13. Singer MB, Hadjibashi AA, Bukur M, Ley EJ, Mirocha J, Malinoski DJ, et al. Incidence of venous thromboembolism after inferior vena cava injury. J Surg Res 2012; 177: 306-9. https://doi.org/10.1016/j.jss.2012.05.055