[Injuries of the portal vein and vena cava in severe blunt abdominal trauma].
Between 1/87 and 7/90 54 severely traumatized patients underwent emergency laparotomy because of blunt abdominal trauma. In 55.5% of the cases one intraabdominal organ, in 20.4% two organs, in 16.6% three and in 7.4% four or more organs were injured. Additionally in 14.8% of these cases (n = 8) a major vascular injury (portal vein n = 5, vena cava n = 2, mesenteric root n = 1) was found intraoperatively. Injuries of the portal vein were always associated with complete rupture of the pancreas, requiring left pancreatic resection in 4 cases and a duodenum preserving resection of the pancreas head in one case. In 2 of these patients the portal vein had to be reconstructed with a prosthesis. Lethality was 9.3% for the whole group (n = 54) and 25% for the patients (n = 8) with additional vascular injuries.
Henne-Bruns
D
D
Chirurgische Universitätsklinik, Hamburg.
Kremer
B
B
D000007:Abdominal Injuries / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008099:Liver / Q000293:injuries / Q000601:surgery; D008638:Mesenteric Arteries / Q000293:injuries / Q000601:surgery; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D010179:Pancreas / Q000293:injuries / Q000601:surgery; D011169:Portal Vein / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality*; D012421:Rupture; D012622:Seat Belts; D015996:Survival Rate; D014683:Vena Cava, Superior / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery*
Verletzungen der Pfortader und Vena cava beim schweren stumpfen Bauchtrauma.