[Blunt rupture of the intrapericardial inferior vena cava: report of two cases].
Blunt rupture of the intrapericardial inferior vena cava is rare. Our experience in recent two cases is presented. Case 1: A 52-year-old male was admitted following a traffic accident. Chest CT demonstrated cardiac tamponade and mediastinal hematoma. Ruptures of the right and left atria across the caudal aspect of the atrial septum, and a separate laceration of intrapericardial IVC were found in the emergency operation. Case 2: A 35-year-old male jumped from the fourth floor of a building. Chest CT revealed descending aortic rupture and the patient was taken to surgery. He died of massive hemorrhage from the aortic rupture. Exploration revealed a rupture of intrapericardial IVC. Recent literatures were reviewed and the mechanism of IVC rupture is discussed.
Tochii
M
M
Fujita Health University Scholl of Medicine, Toyoake, Japan.
Sugimura
S
S
Iriyama
T
T
Hattori
Y
Y
Watanabe
K
K
Negi
K
K
Takeda
I
I
Kano
H
H
Sugimura
H
H
D000063:Accidents, Traffic; D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D014682:Vena Cava, Inferior / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*