A case of multitrauma with vena cava inferior isthmus injury
Abstract: Introduction: Large vessel and cardiac injuries may also be seen in high-energy blunt traumas such as traffic accidents. This report describes a multitrauma patient with vena cava isthmus inferior injury brought to the emergency department following high-energy blunt trauma. Case: A 33-year-old woman was brought to the emergency department following an in-vehicle traffic accident. On arrival, her general condition was poor, and she was unconscious and hemodynamically unstable. Physical examination revealed that the left hemithorax was enlarged compared to the right, was distorted, and did not contribute equally to respiration. Injury to the isthmus of the vena cava inferior and bleeding in the pericardial cavity were observed in addition to abdominal injury symptoms at thoracoabdominal computerized tomography. The patient was taken for abdominal surgery. After surgical intervention, she was transferred to the intensive care unit. Conclusion: It should not be forgotten that major vascular and cardiac injuries such as vena cava inferior isthmus injury may also accompany other systemic injuries in patients subjected to high-energy trauma.
Keywords:
vena cava inferior injury, VCI, blunt chest trauma,
___
- Referans1.Büyük Y, Üzün İ, Erkol Z, Ağrıtmış H, Üstündağ KT. Air bag-mediated fatal craniocervical trauma: a case report. Ulus Travma Acil Cerrahi Derg 2010; 16: 379-81.
- Referans2. Sümer N. Trafik kazalarında sosyal psikolojik etmenler: Sürücü davranışları, becerileri ve sosyal politik çevre. Türk psikoloji yazıları, Ankara 2002; 5(9-10); 1-14.
- Referans3. Alaçayır İ, Köksoy C. Periferik DamarYaralanmaları. Ertekin C, Taviloğlu K, Güloğlu R, Kurtoğlu M editors. Travma Kitabı. İstanbul, 2005. p.1197-213.
- Referans4. Velmahos GC, Karaiskakis M, Salim A, Toutouzas KG, Murray J, Asensio J, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. J Trauma 2003; 54: 45-50.
- Referans5. Lam Bk, Pettersson GB, Vogt DP. Urgent inferior vena cava replacement with an autologous pericardium tube graft. J Thorac Cardiovasc Surg 2003; 126: 2101-3.
- Referans6. Gloviczki P, Pairolero PC, Toomey BJ, Bower TC, Rooke TW, Stanson AW, et al. Reconstruction of large veins for nonmalignant venous occlusive disease. J Vasc Surg 1992;16: 750-61.
- Referans7. İnan B, Aydın Ü, Erkalp K, Yaşar T, Başel H. Vena cava inferior yaralanmalarında cerrahi yaklaşım. Türk Göğüs Kalp Damar Cer Derg 2011; 19: 366-70.
- Referans8. Özbudak E, Arıkan AA, Yavuz S. Toraks travmalarında vasküler yaralanmalara genel bakış. Yücel O, editör. Toraks Travmaları ve Tedavisi. Ankara, 2013. p.186-203.
- Referans9. McCartt AT, Ribner SA, Pack AI, Hammer MC. The scope and nature of the drowsy driving problem in NewYork state. Accid Anal Prev 1996; 28: 511-7.
- Referans10. Kutsukata N, Sakamoto Y, Mashiko K, Ochi M. Morphological evaluation of areas of damage in blunt cardiac injury and investigation of traffic accident research. Gen Thorac Cardiovasc Surg 2012; 60(1): 31-5.
- Referans11. Gucuk Ipek E. Posttraumatic tricuspid valve injury and severe tricuspid valve regurgitation. Ulus Travma Acil Cerrahi Derg 2013;19(5): 472-4.
- Referans12. Unal M, Demirsoy E, Gogus A, Arbatli H, Hamzaoglu A, Sonmez B. Acute aortic valve regurgitation secondary to blunt chest trauma, Tex Heart Inst J 2001; 28: 312-4.
- Referans13. Navid F, Gleason TG. Great vessel and cardiac trauma: diagnostic and management strategies. Semin Thorac Cardiovasc Surg 2008; 20: 31-8.
- Başlangıç: 2010
- Yayıncı: Alpay Azap
Sayıdaki Diğer Makaleler
Gökhan KILINÇ, Bülent ATİK, Sümeyye KILINÇ, Asli Akcan ATASOY
Rija Siddiqui, Shahid NADEEM, Neethu Menon, Jo-Ann Nesiama
Derya YALÇIN YILMAZ, Kıvanç KARAMAN, Yunus Emre ÖZLÜER, Selçuk Eren ÇANAKÇI, Ahmet Tunç DENİZ
Selman YENİOCAK, Sunay YILDIRIM, Adem AZ, Ahmet DEMİREL, Muhammed Furkan ÖZDEN, Özlem UZUN
Cesareddin DİKMETAŞ, Başar CANDER, Bensu BULUT, Dilek ATİK, Ayla KÖKSAL, Ramazan GÜVEN
Yunus Emre ÖZLÜER, Mücahit AVCİL, Duygu EGE, Çağaç YETİŞ
Emin UYSAL, Hakan ÇELİK, Şakir Ömür HINCAL, Kenan Ahmet TÜRKDOĞAN
Selma ŞİMŞEK, Büşra İHTİYAR, Hatice Şeyma AKÇA, Kamil KOKULU, Serkan Emre EROĞLU
Batur Gönenç KANAR, Seyma Meliha SU, Ahmet Anil SAHİN, Rayiha Gorkem KANAR, Murat SUNBUL