Vascular Trauma

Hirshberg, Asher; Mattox, Kenneth L.

doi:10.1002/9780470755815.ch35

Cited by 3 publications

(3 citation statements)

References 48 publications

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“…In about 18% of the cases, bleeding is contained on the retroperitoneum and the patients are normotensive at admission 4 . Abdominal trauma may manifest as free intraperitoneal hemorrhage or as a contained retroperitoneal hematoma (pseudoaneurysm) 5 .…”

Section: Discussionmentioning

confidence: 99%

“…Hematomas in this region increase the suspicion of renal vessel lesion, which was not confirmed in this case. As a general rule, retroperitoneal hematomas resulting from penetrating traumas require exploration of the adjacent kidney (Huey Long rule) 7 , except when it is a stable perirenal hematoma in a patient whose preoperative CT scan does not show urine extravasation or in case of stable retrohepatic hematoma 5 . The prognosis of penetrating abdominal aortic injuries is significantly better than that of thoracic aortic injuries, probably because the retroperitoneal tissues contain the hemorrhage 4 .…”

Section: Discussionmentioning

confidence: 99%

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Tratamento endovascular de pseudoaneurisma da aorta abdominal: relato de caso

Nascimento¹,

Correia

Rebouças³

et al. 2010

J. vasc. bras.

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Um estudante de 17 anos, masculino, sofreu ferimentos por arma de fogo e foi submetido a uma laparotomia exploradora. No pós-operatório, queixava-se de dores em membros inferiores e de massa abdominal pulsátil. Realizou tomografia computadorizada (TC) de abdome, que evidenciou pseudoaneurisma de aorta abdominal de cerca de 8 cm no maior diâmetro, localizado entre o tronco celíaco e a artéria mesentérica superior. Uma arteriografia confirmou o diagnóstico e procedeu-se, então, a embolização da lesão com fragmentos de fio-guia montados com fios de algodão. Após seis meses, realizou ecoDoppler de aorta abdominal e nova TC de abdome, que evidenciaram fluxo no interior do saco do pseudoaneurisma. Foi, então, submetido a nova embolização endovascular e implante de stent não-revestido de 18 x 58 mm. Após seis meses do último procedimento, realizou-se nova TC de abdome que demonstrou exclusão da lesão.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tratamento endovascular de pseudoaneurisma da aorta abdominal: relato de caso

Nascimento¹,

Correia

Rebouças³

et al. 2010

J. vasc. bras.

View full text Add to dashboard Cite

show abstract

“…Their management is specially challenging due to associated soft tissue injury, orthopedic trauma, nerve damage and contamination. The clinical diagnosis of extremity vascular trauma is classically associated with diligent search for hard and soft signs (3). Hard signs are an absolute indication for vascular exploration where as soft signs are an indication for angiography.…”

Section: Introduction:-mentioning

confidence: 99%