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A case of acute abdominal aortic dissection caused by blunt trauma

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Abstract

We present the case of an 18-year-old man involved in a fall with blunt abdominal trauma. The patient had hypovolemic shock and findings of an acute abdomen. Initial computed tomography (CT) showed pulmonary contusion, pneumohemothorax, hemoperitoneum, hepatic contusion, right kidney laceration and vascular avulsion, rupture of the mesenteric vein, rupture of the right rectus muscle with bowel hernia, and infrarenal aortic dissection. There were no signs of limb or medullar ischemia. After hemodynamic stabilization and surgical repair of the associated lesions, the dissection was successfully treated with a self-expanding aortic Wallstent. Postprocedure CT showed a well-positioned patent stent and the patient was discharged asymptomatic. Percutaneous endovascular stent implantation is minimally invasive and seems to be a safe treatment for traumatic dissection of the abdominal aorta.

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References

  1. Berthet JP, Marty-Ané CH, Vecrapen R, Picard E, Mary H, Alric (2003) Dissection of the abdominal aorta in blunt trauma: endovascular or conventional surgical management? J Vasc Surg 38:997–1004

    Article  PubMed  Google Scholar 

  2. Solovei G, Alame A, Bardoux J et al (1994) Paraplegia and dissection of the abdominal aorta after closed trauma. A propos of a case. Current review of the literature (1982–1993). J Chir (Paris) 131:236–244

    CAS  Google Scholar 

  3. Lock JS, Huffman A, Johnson RC (1987) Blunt trauma to the abdominal aorta. J Trauma 27:674–677

    PubMed  CAS  Google Scholar 

  4. Fattori R, Napoli G, Lovato L, Russo V, Pacini D, Pierangeli A et al (2002) Indication for timing of, and results of catheter-based treatment of traumatic injury to the aorta. AJR Am J Roentgenol 179:603–609

    PubMed  Google Scholar 

  5. Fisher RG, Hadlock F (1981) Laceration of the thoracic aorta and brachiocephalic arteries by blunt trauma: report of 54 cases and review of the literature. Radiol Clin North Am 19:91–110

    PubMed  CAS  Google Scholar 

  6. Perchinsky M, Gin K, Mayo JR (1998) Trauma-associated dissection of the thoracic aorta. J Trauma 45:626–629

    Article  PubMed  CAS  Google Scholar 

  7. Campbell DK, Austin RF (1969) Seat belt injury: injury of the abdominal aorta. Radiology 92:123–124

    PubMed  CAS  Google Scholar 

  8. Nunn DB (1973) Abdominal aortic dissection following non penetrating abdominal trauma. Am Surg 39:177–179

    PubMed  CAS  Google Scholar 

  9. Dajee H, Richardson JW, Iype MO (1978) Seatbelt aorta: acute dissection and thrombosis of the abdominal aorta. Surgery 85:263–267

    Google Scholar 

  10. Clark JC, Milroy CM (2000). Injuries and deaths of pedestrians. In: Mason JK, Purdue BN (eds) The pathology of trauma, 3rd edn. Arnold, London, pp 17–29

    Google Scholar 

  11. Picard E, Marty-Ane CH, Vernhet H, Sessa C, Lesnik A, Senac JP et al (1998) Endovascular management of traumatic infrarenal abdominal aortic dissection. Ann Vasc Surg 12:515–521

    Article  PubMed  CAS  Google Scholar 

  12. Peterson AH, Williams DM, Rodriguez JL, Francis IR (1995) Percutaneous treatment of a traumatic aortic dissection by balloon fenestration and stent placement. AJR Am J Roentgenol 164:1274–1276

    PubMed  CAS  Google Scholar 

  13. Nisihimura K, Kanaoka Y, Ikebuchi M, Hiroe T, Tachibana M, Ishiguro S et al (2000) J Vasc Surg 32:616–618

    Article  Google Scholar 

  14. Alkadhi H, Wildermuth S, Desbiolles L, Schertler T, Crook D, Marincek B, Boehm T (2004) Vascular emergencies of the thorax after blunt and iatrogenic trauma: multi-detector row CT and three-dimensional imaging. Radiographics 24:1239–1255

    Article  PubMed  Google Scholar 

  15. Yoshida S, Akiba H, Tamakawa M et al (2003) Thoracic involvement of type A aortic dissection and intramural hematoma: diagnostic accuracy-comparison of emergency helical CT and surgical findings. Radiology 228:430–435

    Article  PubMed  Google Scholar 

  16. Marty-Ane CH, Alric P, Prudhomme M, Chircop R, Serres-Cousine O, Mary H (1996) Intravascular stenting of traumatic abdominal aortic dissection. J Vasc Surg 23:156–161

    Article  PubMed  CAS  Google Scholar 

  17. Vernhet H, Marty-Ane CH, Lesnik A, Chircop R, Serres-Cousine O, Picard E et al (1997) Dissection of the abdominal aorta in blunt trauma: management by percutaneous stent placement. Cardiovasc Intervent Radiol 20:473–476

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Radiology Department, Hospital Universitario La Paz, Paseo Castellana 261, Madrid, 28046, Spain

    Milagros Martí, Inmaculada Pinilla, Franziska Baudraxler, María-José Simón & Gonzalo Garzón

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  1. Milagros Martí
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  2. Inmaculada Pinilla
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  3. Franziska Baudraxler
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  4. María-José Simón
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  5. Gonzalo Garzón
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Correspondence to Inmaculada Pinilla.

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Martí, M., Pinilla, I., Baudraxler, F. et al. A case of acute abdominal aortic dissection caused by blunt trauma. Emerg Radiol 12, 182–185 (2006). https://doi.org/10.1007/s10140-006-0473-0

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  • DOI: https://doi.org/10.1007/s10140-006-0473-0

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