Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report
Introduction: Retroperitoneal hemorrhage from iliac artery injury is a potential cause of hemorrhagic shock and death if not diagnosed early and treated promptly.Case Report: A 55-year-old man, who had non-penetrating blunt trauma, presented with hemorrhagicshock due to retroperitoneal hemorrhage from iliac artery. Although non-penetrating blunt trauma is not a common cause of iliac artery injury, this case demonstrates that deployment of a peripheral drug-eluting stent can successfully treat a common iliac artery (CIA) perforation caused by a blunt trauma. Conclusion: In this case report, we want to share our experience on the successful endovascular treatment of iliac artery perforation after a non-penetrating blunt trauma in patients with hemorrhagic shock. We indicate that this approach is a less invasive treatment modality than conventional surgical repair of iliac artery perforation.
Keywords:
iliac artery injury, non-penetrating blunt trauma,
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- 1. Sethi GK, Scott SM, Takaro T. False aneurysm of the abdominal aorta due to blunt trauma. Ann Surg. 1975;182:33-36
- 2. Fleming AW, Green DC. Traumatic aneurysms of the thoracic aorta. Report of 43 patients. Ann Thorac Surg .1974;18:91-101
- 3. Hewitt RL, Grablowsky OM. Acute traumatic dissecting aneurysm of the abdominal aorta. Ann Surg .1970;171:160-162
- 4. Akpinar E, Peynircioglu B, Turkbey B, Cil BE, Balkanci F. Endovascular management of life-threatening retroperitoneal bleeding. ANZ J Surg. 2008;78:683-7.
- 5. Pedowitz RA, Shackford SR. Non-cavitary haemorrhage producing shock in trauma patients: incidence and severity. J Trauma. 1989;29:219-222.
- 6. Fox N, Schwartz D, Salazar JH, Haut ER, Dahm P, Black JH, et al. Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;78:136-146.
- 7. Nagpal P, Mullan BF, Sen I, Saboo SS, Khandelwal A. Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. 2017;40:643-654.
- 8. Heneghan RE, Aarabi S, Quiroga E, Gunn ML, Singh N, Starnes BW. Call for a new classification system and treatment strategy in blunt aortic injury. J Vasc Surg 2016;64:171-176.
- 9. Lagana D, Carrafiello G, Mangini M, Giorgianni A, Lu- mia D, Cuffari S, et al. Emergency percutaneous treatment of arterial iliac axis ruptures. Emerg Radiol. 2007;14:173-179.
- 10. Hamilos MI, Kochiadakis GE, Hatzidakis AA, Vardas PE. Treatment of a large rupture of the external iliac ar- tery by implantation of a coated metal stent. Hellenic J Cardiol. 2005;46:354-355.
- 11. Trehan V, Nigam A, Ramakrishnan S. Iatrogenic iliac artery rupture: emergency management by longer stent- graft on a shorter balloon. Cardiovasc Intervent Radiol. 2007;30:108-110.
- 12. Duran C, Naoum JJ, Smolock CJ, Bavare CS, Patel MS, Anaya-Ayala JE, et al. A longitudinal view of improved management strategies and outcomes after iatrogenic iliac artery rupture during endovascular aneu- rysm repair. Ann Vasc Surg. 2013;27:1-7.
- Başlangıç: 2010
- Yayıncı: Alpay Azap
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