Pseudoaneurysm of the Abdominal Aorta at the Celiac Trunk After Penetrating Trauma.

Autor: Nabati C; Surgery/Trauma, St. Joseph's University Medical Center, Paterson, USA., Yee S; Surgery, St. Joseph's University Medical Center, Paterson, USA., Hanna P; General Surgery, St. Joseph's University Medical Center, Paterson, USA., Wessner S; Trauma/Surgery/Surgical Critical Care, St. Joseph's University Medical Center, Paterson, USA., Madlinger RV; Trauma/Surgery/Surgical Critical Care, St. Joseph's University Medical Center, Paterson, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2021 Aug 11; Vol. 13 (8), pp. e17111. Date of Electronic Publication: 2021 Aug 11 (Print Publication: 2021).
DOI: 10.7759/cureus.17111
Abstrakt: We report the case of a 33-year-old man who had received multiple gunshot wounds to the abdomen; consequently, he was diagnosed with a traumatic dissection of the abdominal aorta at the level of the superior mesenteric artery (SMA) extending to just below the renal arteries with a posterior pseudoaneurysm of the aorta. He had wounds in the right upper quadrant and in the left lower back. He demonstrated signs of peritonitis for which he was taken to the operating room for exploratory laparotomy. A right common iliac to SMA bypass with a 7-mm ringed polytetrafluoroethylene (PTFE) graft was created. The celiac trunk was then ligated, and through the right groin sheath, a thoracic endograft stent (Cook Medical, Bloomington, IN) was inserted at the level of the thoracic aorta with resolution of the blood flow to the aorta, visceral and iliac arteries, as well as retrograde flow into the bypass graft. The literature on traumatic abdominal aortic pseudoaneurysm was reviewed, and based on that, we believe this report describes a unique case of a traumatic aortic pseudoaneurysm at the level of the celiac trunk, as well as our operative approach.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Nabati et al.)
Databáze: MEDLINE
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