Abstract
Blunt abdominal trauma with major vascular involvement is found to be rare. Although few series have been reported in the literature, the true incidence of blunt abdominal aortic injury is unknown. Different modalities of blunt trauma may occur among civilians with steering wheel and seat belt injury secondary to motor vehicle accident the most frequent. Mechanical forces produce variable patterns of injury; therefore, the onset of signs and symptoms can be different. Dissection and thrombosis of the abdominal aorta have been frequently described among seat-belted adult patients with major vascular involvement. The associated abdominal viscus and/or vertebral lesions must always be taken into account. Prompt diagnosis allows adequate surgical treatment. We present the case of a 66-year-old woman, restrained front passenger involved in a motor vehicle collision, who had small bowel transection, vertebral fractures, and aortic partial occlusion below inferior mesenteric artery with bilateral iliac artery involvement. Along with the case reported, the purpose of this study is to highlight and compare features and management of the previous cases described in the English literature.
| Original language | English |
|---|---|
| Pages (from-to) | 138-147 |
| Number of pages | 10 |
| Journal | Vascular and Endovascular Surgery |
| Volume | 47 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2013 |
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Keywords
- abdominal aortic injury
- aortic injury
- blunt abdominal
- blunt abdominal aortic trauma
- seat belt aorta
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Seat belt injuries of the abdominal aorta in adults - Case report and literature review. / Freni, Luca; Barbetta, Iacopo; Mazzaccaro, Daniela; Settembrini, Alberto M.; Dallatana, Raffaello; Tassinari, Luca; Settembrini, Piergiorgio G.
In: Vascular and Endovascular Surgery, Vol. 47, No. 2, 02.2013, p. 138-147.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Seat belt injuries of the abdominal aorta in adults - Case report and literature review
AU - Freni, Luca
AU - Barbetta, Iacopo
AU - Mazzaccaro, Daniela
AU - Settembrini, Alberto M.
AU - Dallatana, Raffaello
AU - Tassinari, Luca
AU - Settembrini, Piergiorgio G.
PY - 2013/2
Y1 - 2013/2
N2 - Blunt abdominal trauma with major vascular involvement is found to be rare. Although few series have been reported in the literature, the true incidence of blunt abdominal aortic injury is unknown. Different modalities of blunt trauma may occur among civilians with steering wheel and seat belt injury secondary to motor vehicle accident the most frequent. Mechanical forces produce variable patterns of injury; therefore, the onset of signs and symptoms can be different. Dissection and thrombosis of the abdominal aorta have been frequently described among seat-belted adult patients with major vascular involvement. The associated abdominal viscus and/or vertebral lesions must always be taken into account. Prompt diagnosis allows adequate surgical treatment. We present the case of a 66-year-old woman, restrained front passenger involved in a motor vehicle collision, who had small bowel transection, vertebral fractures, and aortic partial occlusion below inferior mesenteric artery with bilateral iliac artery involvement. Along with the case reported, the purpose of this study is to highlight and compare features and management of the previous cases described in the English literature.
AB - Blunt abdominal trauma with major vascular involvement is found to be rare. Although few series have been reported in the literature, the true incidence of blunt abdominal aortic injury is unknown. Different modalities of blunt trauma may occur among civilians with steering wheel and seat belt injury secondary to motor vehicle accident the most frequent. Mechanical forces produce variable patterns of injury; therefore, the onset of signs and symptoms can be different. Dissection and thrombosis of the abdominal aorta have been frequently described among seat-belted adult patients with major vascular involvement. The associated abdominal viscus and/or vertebral lesions must always be taken into account. Prompt diagnosis allows adequate surgical treatment. We present the case of a 66-year-old woman, restrained front passenger involved in a motor vehicle collision, who had small bowel transection, vertebral fractures, and aortic partial occlusion below inferior mesenteric artery with bilateral iliac artery involvement. Along with the case reported, the purpose of this study is to highlight and compare features and management of the previous cases described in the English literature.
KW - abdominal aortic injury
KW - aortic injury
KW - blunt abdominal
KW - blunt abdominal aortic trauma
KW - seat belt aorta
UR - http://www.scopus.com/inward/record.url?scp=84873588326&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84873588326&partnerID=8YFLogxK
U2 - 10.1177/1538574412469446
DO - 10.1177/1538574412469446
M3 - Article
C2 - 23390055
AN - SCOPUS:84873588326
VL - 47
SP - 138
EP - 147
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
SN - 1538-5744
IS - 2
ER -