Successful balloon dilatation for postoperative caval stenosis caused by primary venorrhaphy for traumatic retro-hepatic caval injury in a three-year-old child: Report of a case.
Inferior vena cava injuries are highly lethal. We experienced a case of retrohepatic inferior vena cava injury as a result of blunt trauma in a three-year-old female. Because the site of bleeding of the IVC was identified, we repaired it with running sutures. An attempt at primary repair resulted in postoperative narrowing of the vena cava. There was pressure gradient of the right atrium and inferior vena cava, and collateral circulation developed. Since it was also found that the haemodynamics was unstable, the child underwent another intervention before the stenosis of the IVC was fixed. To the best of our knowledge, there have been no previous reports of therapeutic radiological intervention for stenosis that developed after treatment of a traumatic IVC injury. The IVC in the present case recovered enough patency so that the collateral venous flow could be decreased after balloon dilatation angioplasty.
Department of Pediatric Surgery, Niigata City General Hospital, Japan. Electronic address: masui_daisuke@med.kurume-u.ac.jp.
Daisuke
D
Masui
Department of Pediatric Surgery, Niigata City General Hospital, Japan.
Yasushi
Y
Iinuma
Department of Pediatric Surgery, Niigata City General Hospital, Japan.
Yutaka
Y
Hirayama
Department of Pediatric Surgery, Niigata City General Hospital, Japan.
Kohju
K
Nitta
Department of Pediatric Surgery, Niigata City General Hospital, Japan.
Hisataka
H
Iida
Department of Digestive Surgery, Niigata City General Hospital, Japan.
Tetsuya
T
Otani
Department of Digestive Surgery, Niigata City General Hospital, Japan.
Naoyuki
N
Yokoyama
Department of Pediatrics, Niigata City General Hospital, Japan.
Seiichi
S
Sato
Department of Pediatrics, Niigata City General Hospital, Japan.
Fujito
F
Numano
Department of Pediatric Surgery, Kurume University School of Medicene, Niigata City General Hospital, Shumoku 463-7, Chuo-ku, Niigata City 950-1197, Japan.
Minoru
M
Yagi
D000007:Abdominal Injuries / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D021721:Balloon Occlusion / Q000379:methods*; D002675:Child, Preschool; D003422:Critical Care; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008099:Liver / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000503:physiopathology / Q000601:surgery*
Balloon dilatation; Blunt trauma; Inferior vena cava injury; Paediatric