A case of multitrauma with vena cava inferior isthmus injury

Authors : Selman Yeniocak, Sunay Yildirim, Adem Az, Ahmet Demirel, Muhammed Furkan Özden, Özlem Uzun

Pages : 101-104

Doi:10.33706/jemcr.516924

View : 23 | Download : 9

Publication Date : 2019-10-01

Article Type : Other

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