Limits...
Management of traumatic blunt IVC injury

View Article: PubMed Central - PubMed

ABSTRACT

Blunt trauma can result in rupture IVC in the setting of multiple injuries.

IVC injury is rare and fatal. We report an patient survived conservative management.

IVC pseudoaneurysm can result from traumatic blunt injury to IVC.

Non-operative management of blunt IVC injury can be established in setting of hemodynamic stability.

Follow up for pseudoaneurysm and IVC disruption is needed to ensure non expansion.

Follow up for pseudoaneurysm and IVC disruption is needed to ensure non expansion.

No MeSH data available.


Related in: MedlinePlus

a. Axial computed tomography image taken approximately 6 month after the initial caval injury demonstrates interval resolution of the traumatic pseudoaneurysm of the suprahepatic inferior vena cava (IVC); b. Coronal image demonstrates resolution of the IVC at the confluence with the hepatic veins.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC5037255&req=5

fig0015: a. Axial computed tomography image taken approximately 6 month after the initial caval injury demonstrates interval resolution of the traumatic pseudoaneurysm of the suprahepatic inferior vena cava (IVC); b. Coronal image demonstrates resolution of the IVC at the confluence with the hepatic veins.

Mentions: She was transferred out of the surgical intensive care unit (SICU). A repeat CT venogram on HD 9, 14 (Fig. 2), and 21 after injury demonstrated stability of the IVC pseudoaneurysms. Owing to her continued hemodynamic stability and the lack of pseudoaneurysm growth, a nonoperative approach was maintained, with planned CT venogram 4 weeks later. The repeat CT scan showed a decrease in size of the IVC pseudoaneurysm from 1.5 to _1 cm. After this decrease in size, it was decided to perform repeat imaging in 6 months with a plan for surgical intervention only in the presence of clinical symptoms or enlargement. She was subsequently discharged to home after a 26-day hospital stay. A repeat abdominal CT, obtained 6 month (Fig. 3) later, demonstrated resolution of IVC pseudoaneurysms.


Management of traumatic blunt IVC injury
a. Axial computed tomography image taken approximately 6 month after the initial caval injury demonstrates interval resolution of the traumatic pseudoaneurysm of the suprahepatic inferior vena cava (IVC); b. Coronal image demonstrates resolution of the IVC at the confluence with the hepatic veins.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5037255&req=5

fig0015: a. Axial computed tomography image taken approximately 6 month after the initial caval injury demonstrates interval resolution of the traumatic pseudoaneurysm of the suprahepatic inferior vena cava (IVC); b. Coronal image demonstrates resolution of the IVC at the confluence with the hepatic veins.
Mentions: She was transferred out of the surgical intensive care unit (SICU). A repeat CT venogram on HD 9, 14 (Fig. 2), and 21 after injury demonstrated stability of the IVC pseudoaneurysms. Owing to her continued hemodynamic stability and the lack of pseudoaneurysm growth, a nonoperative approach was maintained, with planned CT venogram 4 weeks later. The repeat CT scan showed a decrease in size of the IVC pseudoaneurysm from 1.5 to _1 cm. After this decrease in size, it was decided to perform repeat imaging in 6 months with a plan for surgical intervention only in the presence of clinical symptoms or enlargement. She was subsequently discharged to home after a 26-day hospital stay. A repeat abdominal CT, obtained 6 month (Fig. 3) later, demonstrated resolution of IVC pseudoaneurysms.

View Article: PubMed Central - PubMed

ABSTRACT

Blunt trauma can result in rupture IVC in the setting of multiple injuries.

IVC injury is rare and fatal. We report an patient survived conservative management.

IVC pseudoaneurysm can result from traumatic blunt injury to IVC.

Non-operative management of blunt IVC injury can be established in setting of hemodynamic stability.

Follow up for pseudoaneurysm and IVC disruption is needed to ensure non expansion.

Follow up for pseudoaneurysm and IVC disruption is needed to ensure non expansion.

No MeSH data available.


Related in: MedlinePlus