Traumatic Injury to the Portal Vein With Shock Bowel.

Autor: Cleveland NC; Lake Erie College of Osteopathic Medicine, Erie, PA. Electronic address: nicholas.cleveland@med.lecom.edu., Nguyen DN; Department of Radiology, Allegheny Health Network, Pittsburgh, PA., Tran CD; The Department of Family Medicine, Forbes Regional Hospital, Monroeville, PA., Maheshwary RK; Department of Radiology, Allegheny Health Network, Pittsburgh, PA., Hartman MS; Department of Radiology, Allegheny Health Network, Pittsburgh, PA.
Jazyk: angličtina
Zdroj: Current problems in diagnostic radiology [Curr Probl Diagn Radiol] 2019 Jan; Vol. 48 (1), pp. 97-99. Date of Electronic Publication: 2017 Oct 03.
DOI: 10.1067/j.cpradiol.2017.09.011
Abstrakt: A portal vein aneurysm is the dilatation of the portal vein due to a defect in the vein wall. This rare disease manifestation is difficult to predict and has the potential for severe complications. We describe the case of a 68-year-old man involved in a motor vehicle collision who presented with abdominal hemorrhage found on ultrasound, hypotension, and vague abdominal pain. The patient underwent an exploratory laparotomy to control bleeding. Surgery and a subsequent abdominal computed tomography revealed the presence of a portal vein pseudoaneurysm and shock bowel. This case highlights the importance of radiologists to consider the prospect of portal vein aneurysm in the differential diagnosis of hypotension following abdominal trauma.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: