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01-05-2006 | Case Report

A case of acute abdominal aortic dissection caused by blunt trauma

Authors: Milagros Martí, Inmaculada Pinilla, Franziska Baudraxler, María-José Simón, Gonzalo Garzón

Published in: Emergency Radiology | Issue 4/2006

Abstract

We present the case of an 18-year-old man involved in a fall with blunt abdominal trauma. The patient had hypovolemic shock and findings of an acute abdomen. Initial computed tomography (CT) showed pulmonary contusion, pneumohemothorax, hemoperitoneum, hepatic contusion, right kidney laceration and vascular avulsion, rupture of the mesenteric vein, rupture of the right rectus muscle with bowel hernia, and infrarenal aortic dissection. There were no signs of limb or medullar ischemia. After hemodynamic stabilization and surgical repair of the associated lesions, the dissection was successfully treated with a self-expanding aortic Wallstent. Postprocedure CT showed a well-positioned patent stent and the patient was discharged asymptomatic. Percutaneous endovascular stent implantation is minimally invasive and seems to be a safe treatment for traumatic dissection of the abdominal aorta.

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Title: A case of acute abdominal aortic dissection caused by blunt trauma
Authors: Milagros Martí
Inmaculada Pinilla
Franziska Baudraxler
María-José Simón
Gonzalo Garzón
Publication date: 01-05-2006
Publisher: Springer-Verlag
Published in: Emergency Radiology / Issue 4/2006
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-006-0473-0

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A case of acute abdominal aortic dissection caused by blunt trauma

Abstract

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Abstract

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