Blunt Traumatic Laceration of the Suprahepatic Inferior Vena Cava Presenting as Abdominal Pain and Shock in a Child

Autor: Chong S. Park, Conrad W. Wesselhoeft
Rok vydání: 1995
Předmět:
Zdroj: The Journal of Trauma: Injury, Infection, and Critical Care. 38:68-69
ISSN: 1079-6061
DOI: 10.1097/00005373-199501000-00019
Popis: OBJECTIVE: Report of management of blunt, intrapericardial inferior vena caval injury. DESIGN, MATERIALS AND METHODS: A seven-year-old boy, after falling from the back of a motorcycle, had a laceration of the intrapericardial, inferior vena cava with cardiac tamponade. He presented with hypotension and a distended abdomen. There was no evidence of thoracic trauma. MEASUREMENTS AND MAIN RESULTS: Laparotomy demonstrated a tensely distended liver without intra-abdominal bleeding. Median sternotomy revealed a vena caval laceration, which was repaired. CONCLUSIONS: Increasing abdominal distention with an enlarging liver suggests traumatic laceration to the suprahepatic vena cava. Vascular repair is best accomplished by median sternotomy. Language: en
Databáze: OpenAIRE