title: Injuries of the portal vein in patients with blunt abdominal trauma.
abstract: Between January 1987 and September 1991, 68 severely traumatized patients underwent emergency laparotomy because of blunt abdominal trauma. Intraoperatively, 54.4% of the patients had a major injury to one organ, 23.5% had injuries to two organs, 16.2% had injuries to three organs and 5.9% to four or more organs. Additionally, in 11.8% of these cases (n = 8) a major vascular injury (portal vein n = 5, vena cava n = 2, mesenteric root n = 1) was found. Injuries to the portal vein were always associated with complete rupture of the pancreas, requiring distal pancreatic resection in four cases and a duodenum preserving resection of the head of the pancreas in one. In two of these patients the portal vein had to be reconstructed with a Goretex prosthetic graft. Mortality was 14.7% for the whole group (n = 68) and 0% for patients with additional portal venous injuries.
authors: Department of Surgery, University of Kiel, Germany.
authors: D
authors: D
authors: Henne-Bruns
authors: B
authors: B
authors: Kremer
authors: D M
authors: DM
authors: Lloyd
authors: U
authors: U
authors: Meyer-Pannwitt
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries; D009104:Multiple Trauma; D010179:Pancreas / Q000293:injuries; D011169:Portal Vein / Q000293:injuries* / Q000601:surgery; D012421:Rupture; D015996:Survival Rate; D014949:Wounds, Nonpenetrating / Q000601:surgery