Blunt Traumatic Injury to the Superior Mesenteric Artery and Celiac Axis

Brown, Daniel B.; Singh, Harjit; Atnip, Robert G.; Cardella, John F.; Waybill, Peter N.

doi:10.1016/s1051-0443(98)70392-6

Cited by 17 publications

(16 citation statements)

References 4 publications

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“…2,4 In the setting of simultaneous CA and superior mesenteric artery injury, revascularization of at least 1 vessel is required to restore adequate collateral flow to the viscera. 3 As our case demonstrated, surgical intervention for mesenteric artery injury is not always necessary. Symptomatic isolated CA dissection has been successfully treated with endovascular stenting, as stated earlier.…”

Section: Commentmentioning

confidence: 78%

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Asymptomatic Isolated Celiac Artery Dissection After a Fall

Gorra

Mittleider²,

Clark³

et al. 2009

Arch Surg

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Isolated injury to mesenteric vessels in blunt trauma is uncommon. Most patients with these injuries present with abdominal pain, shock, or laboratory evidence of bowel and/or liver ischemia. We report herein the case of a man with asymptomatic isolated celiac artery dissection after blunt trauma suspected by screening abdominal computed tomography and confirmed by catheter-based angiography. The patient was treated with 3 months of oral anticoagulation alone.

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Section: Commentmentioning

confidence: 78%

“…2,3 Of all the major abdominal vessels, the CA is the least likely to be injured. In one study of 2357 patients who underAuthor Affiliations: Departments of Surgery (Drs Gorra and Clark), Radiology (Dr Mittleider), and Emergency Medicine (Dr Gibbs), Maine Medical Center, Portland.…”

Section: Commentmentioning

confidence: 99%

Asymptomatic Isolated Celiac Artery Dissection After a Fall

Gorra

Mittleider²,

Clark³

et al. 2009

Arch Surg

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show abstract

“…Five of these patients survived; four were treated with ligation and one with primary repair. On review of the literature, there are 53 individual cases of traumatic coeliac axis injuries reported from 1964 to 2010, 5,8,11,13,25,17,10,24,21,22,19,1,6,14,15 with 75% of these being associated with other severe abdominal vascular or visceral injuries. The typical presentation of traumatic coeliac axis injury involves epigastric abdominal pain (with or without overlying signs of injury) and haemodynamic instability.…”

Section: Discussionmentioning

confidence: 99%

A case report of coeliac artery dissection following a motor vehicle collision

et al. 2012

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“…Abdominal trauma and lap belt use involve children in up to 13.3% of the cases [12]. A typical seat-belt syndrome in the child has been described [13,14] and also the particular gravity of the injuries caused by 2-point seat belts has been pointed out [15,16]. Also, in children, seat belt and especially lap belt use can cause fatal isolated vascular injury including aortic transection [17].…”

Section: Discussionmentioning

confidence: 99%