A case of multitrauma with vena cava inferior isthmus injury

Year 2019, Volume: 10 Issue: 4, 101 - 104, 01.10.2019

Selman Yeniocak , Sunay Yıldırım , Adem Az , Ahmet Demirel , Muhammed Furkan Özden , Özlem Uzun

https://doi.org/10.33706/jemcr.516924

Cited By: 1

Abstract

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

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