A Gardening Session Turns Into a Life Threatening Aortic Transection.

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_9A59D8BD6259
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
A Gardening Session Turns Into a Life Threatening Aortic Transection.
Journal
EJVES vascular forum
Author(s)
Raszka A., Thomopoulos T., Corpataux J.M., Hahnloser D., Longchamp A., Longchamp J.
ISSN
2666-688X (Electronic)
ISSN-L
2666-688X
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
50
Pages
28-31
Language
english
Notes
Publication types: Case Reports
Publication Status: epublish
Abstract
Penetrating injuries to the sub-diaphragmatic aorta are challenging, with high mortality rates. Most penetrating aortic trauma results from gunshots or stab wounds. This case reports a successful aortic bypass, following partial aortic transection caused by an accidental fall on a utility knife.
A healthy 82 year old woman was admitted to the emergency department following penetrating abdominal trauma following an accidental fall on an 18 cm long utility knife. On admission, the patient was haemodynamically stable, with no neurological deficit. Computed tomography angiography revealed multiple abdominal injuries to the stomach, duodenum, L4-L5 left vertebrae, and infrarenal abdominal aorta. The patient underwent urgent midline laparotomy, followed by successful aortic repair using a 14 mm polyester graft. The gastric and duodenal lesions were repaired with an omental patch. The post-operative course was uneventful.
Penetrating abdominal trauma with visceral lesions and aortic transection are high risk injuries, albeit rarely described in the literature. A low threshold for imaging, and multidisciplinary management by vascular and visceral surgeons are essential for timely recognition and successful intervention.
Keywords
Abdominal aorta, Aortic replacement, Stab wound, Vascular injury
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / Careers / PZ00P3-185927
Create date
01/03/2021 12:56
Last modification date
05/12/2023 8:46
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