A case of acute abdominal aortic dissection caused by blunt trauma.
We present the case of an 18-year-old man involved in a fall with blunt abdominal trauma. The patient had hypovolemic shock and findings of an acute abdomen. Initial computed tomography (CT) showed pulmonary contusion, pneumohemothorax, hemoperitoneum, hepatic contusion, right kidney laceration and vascular avulsion, rupture of the mesenteric vein, rupture of the right rectus muscle with bowel hernia, and infrarenal aortic dissection. There were no signs of limb or medullar ischemia. After hemodynamic stabilization and surgical repair of the associated lesions, the dissection was successfully treated with a self-expanding aortic Wallstent. Postprocedure CT showed a well-positioned patent stent and the patient was discharged asymptomatic. Percutaneous endovascular stent implantation is minimally invasive and seems to be a safe treatment for traumatic dissection of the abdominal aorta.
Martí
Milagros
M
Radiology Department, Hospital Universitario La Paz, Paseo Castellana 261, Madrid 28046, Spain.
Pinilla
Inmaculada
I
Baudraxler
Franziska
F
Simón
María-José
MJ
Garzón
Gonzalo
G
D000007:Abdominal Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D000293:Adolescent; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography; D015607:Stents; D014949:Wounds, Nonpenetrating / Q000150:complications*