A Rare Case of Survival from Inferior Vena Cava Injury
| Autor: | Abdul Basit, Ayesha Shabbir, Ahmad Usman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Resuscitation injury resuscitation Venorrhaphy 030204 cardiovascular system & hematology firearm Inferior vena cava 03 medical and health sciences 0302 clinical medicine Blunt venorrhaphy medicine business.industry General Engineering Glasgow Coma Scale Surgery trauma medicine.vein Cardiac/Thoracic/Vascular Surgery General Surgery Concomitant cardiovascular system Presentation (obstetrics) inferior vena cava business Ligation 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.6907 |
| Popis: | Inferior vena cava (IVC) is the most commonly injured abdominal vessel in blunt and penetrating abdominal traumas, and its injury carries a very high rate of mortality. Hemodynamic instability at presentation, poor response to resuscitation, the anatomical level of venacaval injury, low Glasgow Coma Score, and concomitant vascular and visceral injuries are the main factors predicting the outcome of the patient. The primary surgical intervention needed is the control of hemorrhage followed by the repair of IVC defect, which may be done by venorrhaphy, ligation, use of patch or grafts, and other complicated procedures. Each of these techniques carries its own merits and demerits. This case report is of a patient who survived an infrarenal tear of IVC caused by a firearm injury that was repaired by venorrhaphy at a hospital of Pakistan with limited cardiac and endovascular facilities. |
| Databáze: | OpenAIRE |
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