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Inferior vena cava thrombus secondary to blunt abdominal trauma

A 15-year-old female presented to the emergency department of a level 1 trauma centreafter being involved in a high-speed motor vehicle accident. The patient underwent a contrast-enhanced CT scan of the abdomen and pelvis obtained with a 60–70 s delay as part of the institution’s polytrauma protocol...

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Detalles Bibliográficos
Autores principales: Diab, Chadi, Abou Karam, Anthony, Laks, Shaked, Brunner, Noemi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159210/
https://www.ncbi.nlm.nih.gov/pubmed/30363239
http://dx.doi.org/10.1259/bjrcr.20160117
Descripción
Sumario:A 15-year-old female presented to the emergency department of a level 1 trauma centreafter being involved in a high-speed motor vehicle accident. The patient underwent a contrast-enhanced CT scan of the abdomen and pelvis obtained with a 60–70 s delay as part of the institution’s polytrauma protocol. The CT scan demonstrated multiple hepatic lacerations and a filling defect in the suprahepatic inferior vena cava adjacent to the cavoatrial junction. Inferior vena cava thrombus secondary to blunt abdominal trauma is extremely rare, and to our knowledge, this is the first reported case of acute thrombus diagnosed by CT at the time of initial injury. There is limited literature on management of this entity. Possible treatments range from conservative approaches to anticoagulation and placement of IVC filters.