A Case of Abdominal Aortic Injury Caused by a Traffic Accident
| Autor: | Yuichiro Sakamoto, Kenkichi Takei, Hisashi Matsumoto, Nobuyuki Saito, Noriyoshi Kutsukata, Yoshiaki Hara, Kunihiro Mashiko |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain medicine.medical_treatment Poison control Dissection (medical) Wounds Nonpenetrating medicine.artery medicine Humans Aorta Abdominal Renal artery Aorta medicine.diagnostic_test business.industry Abdominal aorta Accidents Traffic Stent General Medicine medicine.disease Surgery Aortic Dissection Abdominal ultrasonography medicine.symptom business |
| Zdroj: | Journal of Nippon Medical School. 75:337-339 |
| ISSN: | 1347-3409 1345-4676 |
| DOI: | 10.1272/jnms.75.337 |
| Popis: | A 30-year-old man was injured when the large motorcycle he was riding crashed into a power pole. Upon arrival at our institution, the patient complained of abdominal pain; blood pressure at admission was 160/70 mmHg, and the heart rate was 112 bpm. Abdominal ultrasonography showed a small collection of fluid in Morrisons pouch. A chest X-ray film showed a right rib fracture. Multidetector computed tomography (MD-CT) revealed pleural effusion, a hepatic lesion, and a dissection of the abdominal aorta distal to the renal artery. Because of the complicated intraluminal injuries, the insertion of a stent graft was difficult. On the 34(th) day after injury, elective surgery was performed. Because dissection of the lumen was observed, the vessel was replaced with an artificial graft. Medial degeneration of the aorta wall was not observed upon pathological examination, and no degenerative disorders have occurred. The postoperative progress was favorable, and the patient was discharged from hospital. Language: en |
| Databáze: | OpenAIRE |
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