Title: Endovascular repair of an actively hemorrhaging stab wound injury to the abdominal aorta
Authors: Hussain, Qasim ×
Maleux, Geert
Heye, Sam
Fourneau, Inge #
Issue Date: Sep-2008
Publisher: Springer
Series Title: Cardiovascular and interventional radiology vol:31 issue:5 pages:1023-1025
Abstract: Traumatic injury of the abdominal aorta is rare and potentially lethal (Yeh et al., J Vasc Surg 42(5):1007-1009, 2005; Chicos et al., Chirurgia (Bucur) 102(2):237-240, 2007) as it can result in major retroperitoneal hemorrhage, requiring an urgent open surgery. In case of concomitant bowel injury or other conditions of hostile abdomen, endovascular repair can be an alternative treatment. This case report deals with a 50-year-old man presenting at the emergency ward with three stab wounds: two in the abdomen and one in the chest. During explorative laparotomy, liver laceration and bowel perforation were repaired. One day later, abdominal CT-scan revealed an additional retroperitoneal hematoma associated with an aortic pseudoaneurysm, located anteriorly 3 cm above the aortic bifurcation. Because of the risk of graft infection, an endovascular repair of the aortic injury using a Gore excluder stent-graft was performed. Radiological and clinical follow-up revealed a gradual shrinkage of the pseudo-aneurysm and no sign of graft infection at two years' follow-up.
ISSN: 0174-1551
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Radiology
Vascular Surgery
× corresponding author
# (joint) last author

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