Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome

Collaço, Iwan Augusto; Diorio, Allan Cezar; Nasr, Adonis; Silva, Fernanda Cristina da; Cecílio, William Augusto Casteleins; Toledo-Filho, Rodolfo Cardoso de

doi:10.1590/s0102-67202010000100014

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…[ 5 7 9 ] Acute traumatic state can be associated with hypotension and shock which promotes venous stasis, thereby increasing the risk of venous thrombosis. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Acute post traumatic portal venous thrombosis associated with shattered spleen: A case report

Gupta

Mittal

Sekhon

et al. 2017

Indian Journal of Radiology and Imaging

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Post-traumatic portal venous thrombosis is a rare event, and is usually seen in association with penetrating injuries. Portal venous thrombosis following blunt abdominal trauma is extremely rare with only few reports in the literature, some associated with underlying coagulation disorders. We report multidetector computed tomography findings in a case of blunt abdominal trauma with otherwise normal coagulation profile, which showed shattered spleen and MDCT evidence of acute thrombosis in the right branch of the portal vein. To the best of our knowledge, this is the first documented report of acute portal venous thrombosis in association with shattered spleen.

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“…[ 5 7 9 ] Acute traumatic state can be associated with hypotension and shock which promotes venous stasis, thereby increasing the risk of venous thrombosis. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Acute post traumatic portal venous thrombosis associated with shattered spleen: A case report

Gupta

Mittal

Sekhon

et al. 2017

Indian Journal of Radiology and Imaging

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“…Mesenteric thrombosis associated with trauma is a rare entity . In all similar cases reported, an operation was performed within the first hours of initial trauma, and pathologic examination showed no evidence of vascular thrombosis or embolic occlusion of the mesenteric vessels . In these cases, an early diagnosis and appropriate treatment resulted in recovery without complications.…”

Section: Discussionmentioning

confidence: 89%

“…Our first case was a 45‐year‐old man with a fatal thrombosis of the mesenteric artery caused by nonpenetrating trauma of the abdominal wall. Mesenteric thrombosis associated with trauma is a rare entity . In all similar cases reported, an operation was performed within the first hours of initial trauma, and pathologic examination showed no evidence of vascular thrombosis or embolic occlusion of the mesenteric vessels .…”

Section: Discussionmentioning

confidence: 96%

Missed Opportunities for Diagnosis of Post‐traumatic Thrombosis: A Case Series and Literature Review

Hosseini

Hedjazi

Bahrani

2014

Journal of Forensic Sciences

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Thrombosis is caused by abnormalities in the composition of the blood, the quality of the vessel wall, and the nature of the blood flow. Herein, we present four cases of fatal thrombus formation after a trauma, which were missed at clinical diagnosis as the symptoms were misinterpreted. We stress that a blunt trauma can be fatal because of its direct and indirect kinetic energy effects at the subacute phase. This report highlights the importance of considering thrombosis in the diagnosis of closed trauma, which is usually missed because of lack of awareness for early diagnosis and treatment or is detected too late for any therapeutic intervention, which can result in avoidable morbidity and mortality.

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A case of portal vein thrombosis caused by blunt abdominal trauma in a patient with low protein C activity

Nishimura

Misawa

Kitamura

et al. 2018

Clin J Gastroenterol

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Portal vein thrombosis (PVT) is caused by several conditions including infection, malignancies, surgery, medications, and coagulation disorders. However, PVT caused by low-energy injury is very rare. A 51-year-old man visited a clinic with a 2-day history of abdominal pain following blunt abdominal trauma. Contrast-enhanced computed tomography (CT) revealed thrombosis in both the portal vein and splenic vein, and he was transferred to our hospital with a diagnosis of PVT. Anticoagulant therapy was initiated using unfractionated heparin. A repeat CT scan revealed enlargement of the thrombus, which occluded the main trunk and first right branch of the portal vein. Laboratory data before heparin administration suggested low protein C activity. Anticoagulation therapy was continued with intermittent assessment of the size of the thrombus and degree of coagulation. On day 23, enhanced CT showed marked shrinkage of the thrombus compared with that on day 8. On day 30, the patient was discharged with a therapeutic prothrombin time-international normalized ratio. Here we present a case of PVT caused by low-energy trauma of the upper abdomen in a patient with a background of low protein C activity that was successfully treated without invasive surgery.

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Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome

Cited by 4 publications

References 3 publications

Acute post traumatic portal venous thrombosis associated with shattered spleen: A case report

Acute post traumatic portal venous thrombosis associated with shattered spleen: A case report

Missed Opportunities for Diagnosis of Post‐traumatic Thrombosis: A Case Series and Literature Review

A case of portal vein thrombosis caused by blunt abdominal trauma in a patient with low protein C activity

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