Hyperextension injury causing abdominal aortic rupture
| Autor: | Gary M. Frydman, A.A. Almeida, Philip J. Walker |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
musculoskeletal diseases
Adult Male Aortic Rupture Poison control Wounds Nonpenetrating Avulsion medicine.artery medicine Back pain Humans Aorta Abdominal Aortic rupture Anterior compartment of thigh Hyperextension injury Medicine(all) Aorta business.industry Anatomy medicine.disease body regions medicine.anatomical_structure Athletic Injuries Abdomen Surgery Medical emergency medicine.symptom Cardiology and Cardiovascular Medicine business human activities |
| Zdroj: | European Journal of Vascular and Endovascular Surgery. 13(2):247-248 |
| ISSN: | 1078-5884 |
| DOI: | 10.1016/s1078-5884(97)80031-7 |
| Popis: | A 21-year-old male presented to our hospital following a water skiing accident. He was travelling at approximately 70 k m / h when he fell forward, head first into the water. He recalled hyperextension of the back, with his feet touching his head. He was transferred to hospital with a presumed spinal injury. He complained of severe lower back pain and numbness of the left anterior thigh. He had no significant past medical illness or family history. Initial examination revealed a pulse rate of 88 and blood pressure of 90/50 mmHg. The abdomen was markedly distended with right upper quadrant tenderness and guarding. Bowel sounds were present. The lower lumbar spine was tender. There was sensory loss in the left thigh anteriorly with reduced power in the left quadriceps muscle. Limb pulse were intact. X-rays demonstrated an avulsion of the posterior border of the second lumbar vertebral body. The vertebral alignment was normal. A helical CT scan of the abdomen revealed a large retroperitoneal haematoma with contrast extravasation from the aorta below the renal vessels (Fig. 1). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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