Inferior vena cava dissection following blunt abdominal trauma

Dissection of the inferior vena cava (IVC) is rare, with only a few published reports in the literature. It is usually associated with blunt abdominal injury or iatrogenic injury from a catheter manipulation. Venous dissections are rare due to lack of well-developed layers in the walls (intima, medi...

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Bibliographic Details
Published in:Emergency radiology 2010-07, Vol.17 (4), p.339-342
Main Authors: Vaidya, Sandeep S., Bhargava, Puneet, Marder, Carrie P., Dighe, Manjiri K.
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Abdominal Injuries - diagnostic imaging
Abdominal Injuries - surgery
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - etiology
Aneurysm, Dissecting - surgery
Case Report
Emergency Medicine
Female
Humans
Imaging
Medicine
Medicine & Public Health
Radiology
Tomography, X-Ray Computed
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - injuries
Vena Cava, Inferior - surgery
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnostic imaging
Young Adult
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Summary:Dissection of the inferior vena cava (IVC) is rare, with only a few published reports in the literature. It is usually associated with blunt abdominal injury or iatrogenic injury from a catheter manipulation. Venous dissections are rare due to lack of well-developed layers in the walls (intima, media and adventitia), low pressure in the venous system, and the absence of atherosclerotic changes. However, IVC dissection is associated with a high mortality rate due to the difficulty in diagnosis, technically difficult surgical repair, and associated solid organ injuries. We report a case of IVC dissection from a low-speed motor vehicle collision and discuss its imaging features.
ISSN:1070-3004
1438-1435
DOI:10.1007/s10140-010-0864-0