Seat-belt transection of the pararenal vena cava in a 5-year-old child: survival with caval ligation.
Blunt traumatic disruption of the inferior vena cava is associated with high mortality and is rare in children. A seat-belted 5-year-old girl sustained, in a motor vehicle accident, pararenal caval transection, right renal vein transection, laceration of the right kidney, duodenal injury, and a second lumbar vertebral fracture. Damage-control surgery consisted of inferior vena caval and right renal vein ligation and temporary abdominal wall silo closure. She is alive and well 10 months after the accident, with no sequelae of caval ligation and with normal right renal function.
DeCou
J M
JM
Department of Pediatric Surgery, The Children's Hospital of Greenville Hospital System, SC 29605-4253, USA.
Abrams
R S
RS
Gauderer
M W
MW
D000063:Accidents, Traffic; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000098:blood supply / Q000293:injuries / Q000601:surgery; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology; D008026:Ligation / Q000379:methods; D012622:Seat Belts / Q000009:adverse effects*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology* / Q000601:surgery*