Blunt traumatic iliac vein injury without pelvic fracture - A case report.
Conservative treatment
Iliac vein
Motor vehicles
Nonpenetrating
Wounds
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
accepted:
06
02
2021
entrez:
5
3
2021
pubmed:
6
3
2021
medline:
6
3
2021
Statut:
epublish
Résumé
A 48-year-old man fell asleep while driving a 4-t truck, hit an 11-t truck from behind, and was injured. Contrast-enhanced computed tomography revealed retroperitoneal hematoma and extravasation of contrast medium in the left common iliac vein. No obvious pelvic fracture was observed. The patient showed no hemodynamic deterioration, so conservative management was selected. Computed tomography images obtained 2 days after injury showed that the hematoma around the left common iliac vein had shrunk and no clear vein thrombus was observed. No findings suggestive of deep vein thrombosis or pulmonary embolism were seen after the start of gait training. Iliac vein injury without pelvic fracture due to blunt trauma is particularly rare. This rare injury was attributed to sudden extension of the hip and force in the direction of the long axis of the common iliac vein. Conservative management is the recommended first choice for isolated iliac vein injury with stable hemodynamics.
Identifiants
pubmed: 33665308
doi: 10.1016/j.tcr.2021.100412
pii: S2352-6440(21)00017-0
pmc: PMC7900575
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100412Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021 The Author(s).
Déclaration de conflit d'intérêts
None.
Références
Ann Vasc Surg. 2009 May-Jun;23(3):411.e9-15
pubmed: 18619776
Jpn J Radiol. 2012 Oct;30(8):680-3
pubmed: 22752416
Surgery. 1990 Mar;107(3):350-2
pubmed: 2309153
J Trauma Nurs. 2017 Sep/Oct;24(5):323-325
pubmed: 28885524
J Trauma. 1998 Aug;45(2):419-21
pubmed: 9715211
J Vasc Surg. 2018 Jan;67(1):254-261
pubmed: 29268917
Vasc Endovascular Surg. 2013 Jul;47(5):325-30
pubmed: 23651699
Eur J Vasc Endovasc Surg. 2000 Jul;20(1):47-50
pubmed: 10906297
J Vasc Surg. 1992 Jul;16(1):87-9
pubmed: 1619729