title: [Simultaneous injury of 4 iliac veins by firearm: report of a case and review of the literature].
abstract: Iliac vessel injuries constitute approximately 10 percent of all vascular traumatic lesions. The high mortality rate is due to the massive exsanguination and the high frequency of associated injuries. Iliac vein injury occurs either isolated or in association with the arterial lesion. 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. A review of literature of this condition and a discussion about the diagnosis, treatment and factors affecting mortality rate is presented. No other such case has been found reported.
authors.affiliation: Disciplina de Cirurgia do Trauma, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
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 Júnior
authors.forename: M
authors.initials: M
authors.lastname: Steinman
authors.forename: A de M
authors.initials: Ade M
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: D000293:Adolescent; D006801:Humans; D007084:Iliac Vein / Q000293:injuries*; D008297:Male; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery
vernacular_title: Lesão simultânea das quatro veias ilíacas por arma de fogo: relato de caso e revisão bibliográfica.