Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Iwan Augusto Collaço¹  Allan Cezar Diorio¹  Adonis Nasr¹  Fernanda Cristina Da Silva¹  William Augusto Casteleins Cecílio¹  Rodolfo Cardoso De Toledo-filho¹ 

关键词: Abdominal trauma;    Mesentery;    Thrombosis;    Trauma abdominal;    Mesentério;    Trombose;   

DOI  :  10.1590/S0102-67202010000100014

来源: SciELO

【 摘 要 】

BACKGROUND: Mesenteric thrombosis related to trauma is an uncommon entity and has poor prognosis when have low flow and hemorrhagic shock. It usually presents with a challenging diagnosis and high mortality rates, despite appropriate treatment. CASE REPORT: Patient with blunt trauma was admitted and initial treatment, complementary exams showed ribs and humerus fractures. Computerized tomography showed aerial distension in small bowels along with gastric stasis and hidropneumothorax. The patient had hypotension during clinical observation and cardiopulmonary arrest, responding to reanimation. Taken to surgery for damage control, it was found extensive necrosis of right colon, which was excised and performed primary anastomosis. He was admitted in the intensive care unit, evolving with oliguria, miosis, convulsion, and pulseless electric activity, dying three days after hospital admission. CONCLUSION: Although uncommon, mesenteric ischemia with venous thrombosis might be secondary to systemic hypotension, frequently followed by fatal outcomes.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License