Endovascular Repair of an Actively Hemorrhaging Stab Wound Injury to the Abdominal Aorta

Journal Article · Mon Sep 15 04:00:00 EDT 2008 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-008-9327-3· OSTI ID:21426352

Hussain, Qasim; Maleux, Geert; Heye, Sam ^[1]; Fourneau, Inge ^[2]

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1. University Hospitals Leuven, Department of Radiology (Belgium)
2. University Hospitals Leuven, Department of Vascular Surgery (Belgium)

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.

• OSTI ID: 21426352
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 31; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
AORTA
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
CAT SCANNING
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
DISEASES
HEMORRHAGE
INJURIES
ORGANS
PATHOLOGICAL CHANGES
REPAIR
SYMPTOMS
TOMOGRAPHY
WOUNDS