Blunt Injury of the Abdominal Aorta

Roth, Stephen M.; Wheeler, Jock R.; Gregory, Roger T.; Gayle, Robert G.; Parent, F. Noel; DeMasi, Richard J.; Riblet, Jeffrey L.; Weireter, Leonard J.; Britt, L. D.

doi:10.1097/00005373-199704000-00032

Cited by 110 publications

(85 citation statements)

References 41 publications

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“…Berthetet al, stated that the rate of delayed diagnosis may reach up to 34.3% [13]. Acute arterial insufficiency was described by Roth, et al to be the most common early sign [14]. Yet, in the presence of intra-abdominal visceral injury, acute abdomen is the most common clinical presentation [3].…”

Section: Discussionmentioning

confidence: 99%

“…Chance fracture (also known as the seat-belt fracture), i.e., transverse fracture of the lumber vertebra with horizontal splitting through the spinous process, is the classical spinal injury seen in seatbelt syndrome [5][6][7][8][9][10][11][12][13][14][15][16][17]. It is believed to result from the extreme flexiondistraction of the spine around the seat-belt and it is most commonly found in the upper lumber vertebrae [5,17,18].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Alkoteesh¹,

Qureshi²,

Sa’a³

et al. 2016

Int J Radiol Med Imag

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Despite its low incidence, the mortality related to it remains high. Seat belt syndrome describes a spectrum of injuries related to the seat-belt use in occupants involved in motor vehicle collusions. These include blunt abdominal aortic injury, intra-abdominal and possibly spinal injuries. Though the eventual consequences may be catastrophic, the initial clinical presentation is frequently subtle. Therefore, prompt diagnostic workup and immediate management should be triggered whenever there is a clinical suspicion for such injuries. Owning to the substantial successful outcomes of endovascular treatment, we believe that it should be accessible to almost all hemodynamically stable patients in the appropriate sitting.We report a case of seat-belt syndrome with abdominal aortic intimal tear and dissection which was successfully managed with endovascular treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Alkoteesh¹,

Qureshi²,

Sa’a³

et al. 2016

Int J Radiol Med Imag

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“…Lacerations and ruptures of the thoracic aorta have been associated with deceleration mechanisms (primarily observed in motor vehicle accidents), but since the abdominal aorta is fixed to the spine it is more susceptible to the action of direct forces. 12 Unlike the rigid atherosclerotic aorta observed in adults, in children and infants the aorta is elastic, and therefore resistant to greater shear forces. 5 The different responses of the abdominal aorta and the iliac arteries to extrinsic compression cause disruption at the point of greatest stress, the bifurcation.…”

Section: Discussionmentioning

confidence: 99%

A case study involving a blunt abdominal trauma leading to disruption of the aortic bifurcation in an infant

et al. 2014

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The incidence of aortic disruption secondary to blunt abdominal trauma is rarely reported in the pediatric population. In general, most of the cases described are the result of motor vehicle accidents. We report on the treatment and outcomes of a 5-year-old child with aortic bifurcation disruption secondary to an unusual case of blunt abdominal trauma who was admitted to the emergency room in hypovolemic shock and subjected to immediate exploratory laparotomy and vascular repair. The mechanical forces involved in aortic disruption and the management options for repair and treatment of this injury will be discussed.Keywords: child; wounds and injuries; multiple trauma; abdominal aorta; abdominal injuries; vascular system injuries. ResumoA incidência de ruptura aórtica secundária a um trauma abdominal contuso é uma condição extremamente rara e pouco relatada na população pediátrica. Em geral, a maioria dos casos descritos é devida a acidentes automobilísticos. Descrevemos o caso de uma criança de cinco anos de idade, vítima de trauma abdominal contuso de etiologia incomum, a qual foi admitida em sala de emergência em choque hipovolêmico e submetida a laparotomia exploradora, com o reparo de uma laceração da bifurcação aórtica. Serão discutidas as forças mecânicas envolvidas e as opções de tratamento para esse tipo de lesão.Palavras-chave: criança; ferimentos e lesões; traumatismo múltiplo; aorta abdominal; traumatismos abdominais; traumatismos do sistema vascular.

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“…In such lesions, the mechanism responsible for vascular damage, comprising laceration of the abdominal aorta [17], is still not entirely clear. In non-penetrating abdominal traumatic injury, occurring in patients with their seat-belt fastened, vascular damage has been attributed to the action of direct and indirect forces generated by the rapid deceleration of a vehicle involved in a high-speed collision [23,26]. The action of direct forces crush the aorta between the vertebral column and the seat-belt: when the vertebrae are fractured by these forces, the resulting bone fragments may lacerate the aorta [10,17,19], similarly to that which occurs in anterior osteophytosis [11].…”

Section: Discussionmentioning

confidence: 99%

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review

et al. 2011

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To present a rare case of association of abdominal aorta rupture and flexion-distraction fracture of thoracolumbar spine and to review the literature on this condition. In non-penetrating abdominal traumatic injuries with flexion-distraction fractures of the thoracolumbar spine, rupture of the abdominal aorta is an extremely rare occurrence but its outcome is potentially lethal. This association of skeletal and vascular lesions mainly affects young patients and involves the thoraco-lumbar junction and the portion of the aorta that lies in front of it. The authors analyze the pertinent literature and describe a case, operated in two sittings, of a traumatic lesion of the aorta attributable to a fracture of L1, focusing on mechanism of damage, diagnosis and surgical treatment. At 2-year follow-up examination, there were no neurological deficits. A review of the pertinent literature has shown that mortality can be reduced by a meticulous clinical and radiological work-up for a correct diagnosis followed by surgical repair of any damaged vessels. The possibility of performing a rapid diagnosis by means of total-body CT-scan plus CT-angiography allows repair of vascular damage, stabilization of the patient's hemodynamic conditions and, subsequently, surgical treatment of the vertebral fracture.

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Blunt Injury of the Abdominal Aorta

Cited by 110 publications

References 41 publications

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

A case study involving a blunt abdominal trauma leading to disruption of the aortic bifurcation in an infant

Blunt abdominal aortic disruption (BAAD) in shear fracture of the adult thoraco-lumbar spine: case report and literature review

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