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Motor vehicle collision patient with simultaneous duodenal transection and thoracic aorta injury: a case report and review of the literature.

Chen C, Schuster K, Bhattacharya B - Case Rep Surg (2015)

Bottom Line: Blunt polytrauma can present complex management decisions.The patient went on to a full recovery.We also review the management of such injuries which has evolved over the past two decades resulting in less morbidity and mortality.

View Article: PubMed Central - PubMed

Affiliation: Surgical Critical Care and Surgical Emergencies, Section of Trauma, Yale School of Medicine, 330 Cedar Street, BB310, P.O. Box 208062, New Haven, CT 06520-8062, USA.

ABSTRACT
Blunt polytrauma can present complex management decisions. Here we report the case of a 31-year-old male involved in a high speed motor vehicle collision resulting in both duodenal and thoracic aorta injury that was managed collaboratively between the trauma, vascular, and cardiothoracic surgical teams. The patient went on to a full recovery. We also review the management of such injuries which has evolved over the past two decades resulting in less morbidity and mortality.

No MeSH data available.


Related in: MedlinePlus

Discontinuity of the wall of the second portion of the duodenum is noted with surrounding intermediate attenuation fluid. Multiple foci of intra-abdominal free air are also present.
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fig2: Discontinuity of the wall of the second portion of the duodenum is noted with surrounding intermediate attenuation fluid. Multiple foci of intra-abdominal free air are also present.

Mentions: A 31-year-old intoxicated, unrestrained male was brought in by EMS after crashing his car into a truck. On arrival he was hemodynamically appropriate. He complained of right arm and abdominal pain. Primary survey revealed no deficits. The secondary survey revealed tenderness over the anterior chest wall and the right upper quadrant of the abdomen. His right upper extremity had an obvious deformity with motion limited by pain but with no vascular compromise. A chest X-ray was obtained in the trauma bay which only demonstrated a single right side fourth rib fracture. His initial hemoglobin was 14.3 g/dL. The patient's physical exam was complicated by alcohol intoxication and therefore underwent CT imaging of his brain, chest, abdomen, pelvis, and spine column to rule out life threatening injuries. Imaging revealed a thoracic aorta pseudoaneurysm in the region of the ligamentum arteriosum (Figure 1) and a duodenal transection (Figure 2).


Motor vehicle collision patient with simultaneous duodenal transection and thoracic aorta injury: a case report and review of the literature.

Chen C, Schuster K, Bhattacharya B - Case Rep Surg (2015)

Discontinuity of the wall of the second portion of the duodenum is noted with surrounding intermediate attenuation fluid. Multiple foci of intra-abdominal free air are also present.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4321849&req=5

fig2: Discontinuity of the wall of the second portion of the duodenum is noted with surrounding intermediate attenuation fluid. Multiple foci of intra-abdominal free air are also present.
Mentions: A 31-year-old intoxicated, unrestrained male was brought in by EMS after crashing his car into a truck. On arrival he was hemodynamically appropriate. He complained of right arm and abdominal pain. Primary survey revealed no deficits. The secondary survey revealed tenderness over the anterior chest wall and the right upper quadrant of the abdomen. His right upper extremity had an obvious deformity with motion limited by pain but with no vascular compromise. A chest X-ray was obtained in the trauma bay which only demonstrated a single right side fourth rib fracture. His initial hemoglobin was 14.3 g/dL. The patient's physical exam was complicated by alcohol intoxication and therefore underwent CT imaging of his brain, chest, abdomen, pelvis, and spine column to rule out life threatening injuries. Imaging revealed a thoracic aorta pseudoaneurysm in the region of the ligamentum arteriosum (Figure 1) and a duodenal transection (Figure 2).

Bottom Line: Blunt polytrauma can present complex management decisions.The patient went on to a full recovery.We also review the management of such injuries which has evolved over the past two decades resulting in less morbidity and mortality.

View Article: PubMed Central - PubMed

Affiliation: Surgical Critical Care and Surgical Emergencies, Section of Trauma, Yale School of Medicine, 330 Cedar Street, BB310, P.O. Box 208062, New Haven, CT 06520-8062, USA.

ABSTRACT
Blunt polytrauma can present complex management decisions. Here we report the case of a 31-year-old male involved in a high speed motor vehicle collision resulting in both duodenal and thoracic aorta injury that was managed collaboratively between the trauma, vascular, and cardiothoracic surgical teams. The patient went on to a full recovery. We also review the management of such injuries which has evolved over the past two decades resulting in less morbidity and mortality.

No MeSH data available.


Related in: MedlinePlus