[Blunt trauma to the infrarenal abdominal aorta with neurologic lesions. Case report and review of the literature].
We report the case of a 31-year-old female involved in a severe motor vehicle accident. The diagnosis of blunt trauma to the abdominal aorta was not retained initially. The patient was referred to our institution when she developed a delayed paralysis of the lower limbs associated with the disappearance of both femoral pulses. Computed tomography evidenced dissection of the infrarenal aorta and NMR ruled out injury to the spinal cord. An aortoiliac endarteriectomy was then performed. Neurological recovery was partial at 3 months. We reviewed the frequency, the mechanisms and the management of blunt trauma to the abdominal aorta.
Henaine
R
R
Service de Chirurgie Vasculaire, Hôpital Pellegrin, place Amélie Raba Léon, 33 076 Bordeaux Cedex, France.
Baste
J C
JC
Diard
N
N
Sibé
M
M
Sassoust
G
G
Midy
D
D
D000063:Accidents, Traffic; D000328:Adult; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003937:Diagnosis, Differential; D004691:Endarterectomy; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007866:Leg; D010243:Paralysis / Q000209:etiology*; D011674:Pulse; D013116:Spinal Cord / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000000981:diagnostic imaging