Complete occlusion after blunt injury to the abdominal aorta.
BACKGROUND
Injury to the abdominal aorta after blunt trauma is uncommon. When this injury results in complete vessel occlusion, the presentation is dramatic. Timely intervention is essential.


METHODS
After a case report, we examined all reported cases of complete occlusion after blunt injury to the abdominal aorta and reviewed the cause, presentation, and management of this injury.


RESULTS
Complete vessel occlusion arises from intimal injury. The most frequent mechanism is compression from a seat belt or steering wheel during a motor vehicle crash. Patients present with absent femoral and distal pulses in association with lower extremity neuropathy. Intervention commonly involves bypass grafting of the abdominal aorta.


CONCLUSIONS
Complete occlusion after blunt trauma to the abdominal aorta is rare. Neurologic deficits most commonly arise from peripheral nerve ischemia. Reperfusion within 6 hours confers a greater chance of limb salvage and neurologic recovery.
Meghoo
Colin A L
CA
Department of Surgery, William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, El Paso, Texas 79920-5001, USA. colin.meghoo@cen.amedd.army.mil
Gonzalez
Ernest A
EA
Tyroch
Alan H
AH
Wohltmann
Christopher D
CD
D001012:Aorta, Abdominal / Q000293:injuries*; D001157:Arterial Occlusive Diseases / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery