Case Report
BibTex RIS Cite

Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report

Year 2019, , 115 - 117, 01.10.2019
https://doi.org/10.33706/jemcr.563782

Abstract

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.

Supporting Institution

no funding

Project Number

no funding

References

  • 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.
Year 2019, , 115 - 117, 01.10.2019
https://doi.org/10.33706/jemcr.563782

Abstract

Project Number

no funding

References

  • 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.
There are 12 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Batur Gönenç Kanar 0000-0002-5156-0302

Seyma Meliha Su This is me 0000-0001-7899-6803

Ahmet Anil Sahin This is me 0000-0003-1435-6262

Rayiha Gorkem Kanar This is me 0000-0001-9670-2450

Murat Sunbul 0000-0003-0549-3097

Project Number no funding
Publication Date October 1, 2019
Submission Date May 13, 2019
Published in Issue Year 2019

Cite

APA Kanar, B. G., Su, S. M., Sahin, A. A., Kanar, R. G., et al. (2019). Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports, 10(4), 115-117. https://doi.org/10.33706/jemcr.563782
AMA Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M. Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports. October 2019;10(4):115-117. doi:10.33706/jemcr.563782
Chicago Kanar, Batur Gönenç, Seyma Meliha Su, Ahmet Anil Sahin, Rayiha Gorkem Kanar, and Murat Sunbul. “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”. Journal of Emergency Medicine Case Reports 10, no. 4 (October 2019): 115-17. https://doi.org/10.33706/jemcr.563782.
EndNote Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M (October 1, 2019) Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports 10 4 115–117.
IEEE B. G. Kanar, S. M. Su, A. A. Sahin, R. G. Kanar, and M. Sunbul, “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”, Journal of Emergency Medicine Case Reports, vol. 10, no. 4, pp. 115–117, 2019, doi: 10.33706/jemcr.563782.
ISNAD Kanar, Batur Gönenç et al. “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”. Journal of Emergency Medicine Case Reports 10/4 (October 2019), 115-117. https://doi.org/10.33706/jemcr.563782.
JAMA Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M. Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports. 2019;10:115–117.
MLA Kanar, Batur Gönenç et al. “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”. Journal of Emergency Medicine Case Reports, vol. 10, no. 4, 2019, pp. 115-7, doi:10.33706/jemcr.563782.
Vancouver Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M. Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports. 2019;10(4):115-7.