TY - JOUR PY - 1995// TI - Blunt traumatic laceration of the suprahepatic inferior vena cava presenting as abdominal pain and shock in a child: a case report JO - Journal of trauma A1 - Park, C. S. A1 - Wesselhoeft, C. W. SP - 68 EP - 69 VL - 38 IS - 1 N2 - OBJECTIVE: Report of management of blunt, intrapericardial inferior vena caval injury. DESIGN, MATERIALS AND METHODS: A seven-year-old boy, after falling from the back of a motorcycle, had a laceration of the intrapericardial, inferior vena cava with cardiac tamponade. He presented with hypotension and a distended abdomen. There was no evidence of thoracic trauma. MEASUREMENTS AND MAIN RESULTS: Laparotomy demonstrated a tensely distended liver without intra-abdominal bleeding. Median sternotomy revealed a vena caval laceration, which was repaired. CONCLUSIONS: Increasing abdominal distention with an enlarging liver suggests traumatic laceration to the suprahepatic vena cava. Vascular repair is best accomplished by median sternotomy.
Language: en
LA - en SN - 0022-5282 UR - http://dx.doi.org/ ID - ref1 ER -