Successful endovascular treatment of an obstruction following the surgical repair of a traumatic portal vein injury: a case report.

Autor:	Lee JS; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea., Lee JY; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea.; Department of Trauma Surgery, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea., Sul Y; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea.; Department of Trauma Surgery, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea., Kim SH; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea., Ye JB; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea., Yoon SY; Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea., Seok J; Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea., Han J; Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea., Choi JH; Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea., Kim HR; Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, Republic of Korea., Kim Y; Department of Radiology, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea.
Jazyk:	angličtina
Zdroj:	The Journal of international medical research [J Int Med Res] 2023 Dec; Vol. 51 (12), pp. 3000605231218954.
DOI:	10.1177/03000605231218954
Abstrakt:	Traumatic portal vein injury is rare, but the associated mortality rate ranges from 50% to 70%. The management of this injury is difficult and remains controversial. In this case report, we describe the successful endovascular treatment of an obstruction that developed following the surgical repair of a traumatic portal vein injury. A man in his mid-40s who had been injured in a car accident presented to our trauma center with abdominal pain, abdominal distension, and open wounds over both knees. Emergency laparotomy revealed a longitudinal rupture from the upper border of the pancreas to the mid-portion of the portal vein; his hemorrhage was successfully controlled surgically. However, postoperative abdominal computed tomography imaging revealed portal vein obstruction. One week after admission to the intensive care unit, an endovascular stent was successfully inserted into the patient's portal vein via a percutaneous transhepatic approach. The associated injuries, including the distal common bile duct obstruction, were successfully managed by choledochojejunostomy. The patient's postoperative recovery was uneventful. Thus, endovascular stent placement is an effective and safe means of treating an obstruction following the surgical repair of a traumatic portal vein injury. Competing Interests: Declaration of conflicting interestsThe authors declare that there is no conflict of interest.
Databáze:	MEDLINE
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