title: An unusual case of four iliac veins injured by gunshot: case report and review of the literature.
abstract: Multiple injuries of iliac veins are uncommon and frequently fatal. An unusual case in which there were injuries of the four iliac veins by gunshot is described. Prompt control of hemorrhage is required. Because our patient was in unstable condition, ligation of the four iliac veins was performed and the abdomen was packed. After a complicated course, the patient was discharged after 40 days in good condition. Although venous repair is often recommended, ligation in extensive injuries may be necessary, and is usually well tolerated in young, previously healthy individuals like our patient.
authors.affiliation: Department of Surgery, University of São Paulo School of Medicine, Brazil.
authors.forename: M A
authors.initials: MA
authors.lastname: Machado
authors.forename: C I
authors.initials: CI
authors.lastname: Ikejiri
authors.forename: M
authors.initials: M
authors.lastname: Borrelli
authors.forename: M
authors.initials: M
authors.lastname: Steinman
authors.forename: A M
authors.initials: AM
authors.lastname: Figueiredo
authors.forename: R S
authors.initials: RS
authors.lastname: Poggetti
authors.forename: P D
authors.initials: PD
authors.lastname: Branco
authors.forename: D
authors.initials: D
authors.lastname: Birolini
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000293:Adolescent; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007084:Iliac Vein / Q000293:injuries* / Q000601:surgery; D008297:Male; D014948:Wounds, Gunshot / Q000150:complications*