scholarly journals Endovascular repair of traumatic external iliac vessel pseudoaneurysm and arteriovenous fistulae

2013 ◽  
Vol 12 (3) ◽  
pp. 257-259
Author(s):  
Juan Marin ◽  
Beatriz Retamales ◽  
Camila Onetto ◽  
Enrique Ceroni ◽  
Cristian Marin
Keyword(s):  
Gunshot Wound ◽  
Hypovolemic Shock ◽  
External Iliac Artery ◽  
Vascular Trauma ◽  
Arteriovenous Fistulae ◽  
Iliac Vessel ◽  
Satisfactory Outcome ◽  
Severe Hemorrhage ◽  
External Iliac Vessel ◽  
Late Postoperative Period

A 17-year-old male patient presenting with an abdominal gunshot wound and severe hypovolemic shock was initially operated and presented several injuries to the small bowel and cecum associated with severe hemorrhage. The patient had to be operated twice due to hypothermia, acidosis, and coagulopathy. In the late postoperative period, murmur and fremitus were observed. Angiography revealed a pseudoaneurysm associated with arteriovenous fistulae at the left external iliac vessels. Lesions were repaired with a stent graft placed in the external iliac artery, with a satisfactory outcome. Control computed tomography performed 6 months later evidenced artery integrity with closure of the fistulae. Endovascular therapy should be the preferred method in this type of vascular trauma complications.

scholarly journals Endovascular correction of a traumatic internal iliac arteriovenous fistula with a covered stent

2014 ◽  
Vol 13 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Edson Pedroza dos Santos Junior ◽  
Rodolfo Rógers Américo Batista ◽  
Fernanda Medina Felici ◽  
Vinicius Evaristo Correia ◽  
Maykon Brescancin Oliveira ◽  
...  
Keyword(s):  
Young Adult ◽  
Gunshot Wound ◽  
Covered Stent ◽  
Lower Limbs ◽  
Emergency Laparotomy ◽  
Total Occlusion ◽  
Arteriovenous Fistulae ◽  
Iatrogenic Injuries ◽  
Internal Iliac ◽  
Late Postoperative Period

Arteriovenous fistulae (AVFs) are anomalous communications between an artery and a vein, bypassing the capillary network. They can be subdivided on the basis of etiology into congenital and acquired fistulae. The latter may be caused by closed or penetrating traumas, or may be iatrogenic injuries. We report on a case of a young adult female gunshot wound victim treated with emergency laparotomy who developed asymmetrical edema of the lower limbs during the late postoperative period. Imaging exams showed the presence of a left internal iliac AVF, treated using endovascular surgery with placement of a covered stent, resulting in total occlusion of arteriovenous communication.

scholarly journals An isolated iliac vein injury due to blunt trauma by a bicycle handlebar without a pelvic fracture: A case report

2020 ◽  
Vol 30 (2) ◽  
pp. 148-150
Author(s):  
İbrahim Duvan ◽  
İlker İnce ◽  
Melike Şenkal ◽  
Kasım Karapınar ◽  
Uğursay Kızıltepe
Keyword(s):  
Blunt Trauma ◽  
Hypovolemic Shock ◽  
Penetrating Trauma ◽  
Rare Condition ◽  
External Iliac Artery ◽  
Iliac Vein ◽  
Massive Bleeding ◽  
Vascular Trauma ◽  
Skeletal Injury ◽  
Vein Injury

Abdominal and pelvic blunt vascular trauma without skeletal injury is considered a rare condition. Iliac vein injuries are usually seen with penetrating trauma, whereas they result from blunt trauma very rarely. A 15-year-old boy was admitted who fell from a bicycle and got his left hypogastric region hit by the handlebar. He had an isolated left external iliac vein injury and massive bleeding related to this blunt trauma, which eventually resulted in hypovolemic shock and a huge regional hematoma. The hematoma compressed the left external iliac artery and triggered ischemia. In conclusion, prompt diagnosis and treatment are of utmost importance to save the extremities and lives of patients.

scholarly journals Management of Complex Pelvic Fracture with Associated Both Column Acetabular Fracture Judet-Letournel Type and a Coccygeal Fracture in a Severe Polytrauma Patient

2021 ◽  
pp. 192-201
Author(s):  
Jessica Fiolin ◽  
Ludwig Andre Powantia Pontoh ◽  
Ismail Hadisoebroto Dilogo
Keyword(s):  
Pelvic Fracture ◽  
Hypovolemic Shock ◽  
Stable Condition ◽  
Acetabular Fractures ◽  
Advanced Technique ◽  
Operative Strategy ◽  
Ilioinguinal Approach ◽  
Outcome Score ◽  
Satisfactory Outcome ◽  
Sacroiliac Joint Disruption

Comprehensive emergency managements and early stabilization are pivotal upon treating complex pelvic and acetabular fractures. A thorough operative strategy is required to determine the best operative approach based on the patient’s general condition, available facilities, and surgeon preferences in such complex fracture configuration. Advanced technique of the fixation is necessary during a skillful execution of surgery in order to achieve good treatment results. An 18-years-old female crushed by a bus upon crossing street, presented with hypovolemic shock with ISS polytrauma score 50 consisting of right acetabular associated both column fracture, bilateral pelvic fracture anteroposterior compression type 3, and coccygeal fracture with bilateral drop foot. She underwent emergency laparotomy, had her ovary, bladder, and intestine primarily sutured, and then we immobilized the pelvic using anterior frame external fixator, which was maintained for 6 days. Upon stable condition, we performed right ilioinguinal approach and modified Stoppa with lateral window for the left side, while Kocher-Langenbeck technique was used to approach the posterior acetabular column. Postoperative radiology showed an adequate internal fixation in both right acetabular columns, successful reconstruction of pelvic ring which was fixated the left ischium, left superior and inferior pubic rami, and full restoration of left sacroiliac joint disruption. Majeed pelvic outcome score was 54, while Hannover pelvic outcome score was good and the patient was able to sit without pain 2 months postoperative. Management of complex pelvic-acetabular-coccygeal fracture requires a holistic chain of treatment by emphasizing the prompt emergency management, accurate preoperative planning, and excellent execution of reconstructive surgical strategy to achieve satisfactory outcome.

Traumatic Arteriovesical Fistula from the External Iliac Artery after Gunshot Wound to the Pelvis

2017 ◽  
Vol 83 (12) ◽  
pp. 493-494
Author(s):  
Erika Simmerman ◽  
Andrew Lawson ◽  
Ashley Schlafstein ◽  
Ashley Williams ◽  
Steven Holsten
Keyword(s):  
Iliac Artery ◽  
Gunshot Wound ◽  
External Iliac Artery

scholarly journals A successful hybrid operation for life-threatening hemorrhagic shock secondary to an iatrogenic ruptured pseudoaneurysm of the external iliac artery following percutaneous arterial access

2018 ◽  
Vol 14 (3) ◽  
Author(s):  
Takahiro Shoji ◽  
Hirohisa Harada ◽  
Shinji Yamazoe ◽  
Yoshihiro Yamaguchi
Keyword(s):  
Renal Artery ◽  
Iliac Artery ◽  
Arterial Embolization ◽  
External Iliac Artery ◽  
Vascular Trauma ◽  
Balloon Occlusion ◽  
Arterial Access ◽  
Iatrogenic Complications ◽  
Life Threatening ◽  
Endovascular Balloon Occlusion

Intravascular treatments such as arterial embolization and resuscitative endovascular balloon occlusion of the aorta are being increasingly performed in emergency cases, in addition to the increasing use of arterial access as an intensive care monitoring tool. Thus, arterial access-related complications are being commonly reported. A 40- year-old man with renal artery stenosis underwent renal artery stent placement via the left inguinal puncture approach. After the procedure, his groin was manually compressed to hemostasis for 30 min. He unexpectedly developed shock the following day, and computed tomography revealed a ruptured pseudoaneurysm of the left external iliac artery (EIA) following iatrogenic vascular trauma owing to an inappropriately performed groin puncture. We initially controlled the hemorrhage using endovascular balloon occlusion of the left EIA. Subsequently, the injured EIA was repaired using a direct suture. The postoperative course was uneventful. Herein, we evaluated the causes of iatrogenic complications and the effectiveness of our treatment strategy.

scholarly journals QUALITY OF LIFE AFTER VERTICAL GASTRECTOMY EVALUATED BY THE BAROS QUESTIONNAIRE

2017 ◽  
Vol 30 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Giselle Abigail MENDES ◽  
Guilherme Pedroso VARGAS
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Clinical Improvement ◽  
Average Percentage ◽  
Vertical Gastrectomy ◽  
Satisfactory Outcome ◽  
Treatment Of Obesity ◽  
Late Postoperative Period

ABSTRACT Background: The satisfactory outcome in the surgical treatment of obesity must include, in addition to weight loss, a significant change in the pre-existing comorbidities and in the quality of life. Aim: To evaluate the quality of life in the late postoperative period in patients that underwent videolaparoscopic sleeve gastrectomy. Methods: It was applied the questionnaire "Bariatric Analysis and Reporting Outcome System" (BAROS) in patients that underwent videolaparoscopic sleeve gastrectomy. Results: A total of 47 patients between 21-60 years old were evaluated. The total mean of BMI before surgery was 43.06±5.87 kg/m². The average percentage of the reduction of excess weight after surgery was 85.46±23.6%. The score obtained by patients in the questionnaire about the improvement in the quality of life showed excellent (36.17%), very good (40.43%), good (21.28%) and reasonable (2.13%) results. There was clinical improvement after surgery in all comorbidities investigated. Conclusion: The weight loss was critical to improve the quality of life and offered the resolution or clinical improvement in all of the investigated comorbidities in patients submitted to sleeve gastrectomy.

scholarly journals Early intensive treatment to prevent kidney failure in post-traumatic rhabdomyolysis: Case report

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983952
Author(s):  
Mario Pezzi ◽  
Anna Maria Giglio ◽  
Annamaria Scozzafava ◽  
Giuseppe Serafino ◽  
Pietro Maglio ◽  
...  
Keyword(s):  
Striated Muscle ◽  
Hypovolemic Shock ◽  
Kidney Injury ◽  
Vascular Trauma ◽  
Muscle Enzymes ◽  
Systemic Complications ◽  
Plasma Filtration ◽  
Striated Muscle Fibers ◽  
Post Traumatic ◽  
Constituent Elements

Traumatic rhabdomyolysis is a clinical and biological syndrome secondary to lysis of striated muscle fibers resulting in extended musculoskeletal damage. An acute muscle damage causes the release of constituent elements of the sarcoplasmic reticulum, such as muscle enzymes, potassium, and myoglobin in plasma circulation; these conditions are at great risk of dangerous systemic complications for life such as hypovolemic shock, hyperkalemia, and acute kidney injury. We describe the case of a patient who suffered a severe musculoskeletal and vascular trauma with elevated creatine kinase values and myoglobinemia treated early with coupled plasma filtration adsorption in order to prevent kidney damage, associated with volume replacement, loop diuretics, and correction of metabolic acidosis.

Spent Bullet in the Bronchus

2006 ◽  
Vol 72 (4) ◽  
pp. 345-346 ◽  
Author(s):  
James V. O'Connor ◽  
James M. Haan ◽  
Joshua L. Wright
Keyword(s):  
Successful Treatment ◽  
Gunshot Wound ◽  
Lower Lobe ◽  
Vascular Trauma ◽  
Left Lower Lobe ◽  
Airway Compromise ◽  
Lobe Bronchus ◽  
Life Threatening ◽  
Serious Injury ◽  
Cervical Trachea

Penetrating tracheal trauma, although infrequent, varies from minor to life-threatening injuries. Serious injury often results from airway compromise or significant associated esophageal or vascular trauma. Tracheal injuries resulting in a retained ballistic fragment in the airway have been infrequently reported. We report the successful treatment of a patient with a gunshot wound to the anterior cervical trachea resulting in a spent bullet lodged in the left lower lobe bronchus.

scholarly journals QUALITY OF LIFE AFTER VERTICAL GASTRECTOMY EVALUATED BY THE BAROS QUESTIONNAIRE

2017 ◽  
Vol 30 (4) ◽  
pp. 248-251 ◽  
Author(s):  
Guilherme Pedroso VARGAS ◽  
Giselle Abigail MENDES ◽  
Rinaldo Danesi Pinto
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Clinical Improvement ◽  
Average Percentage ◽  
Vertical Gastrectomy ◽  
Satisfactory Outcome ◽  
Treatment Of Obesity ◽  
Late Postoperative Period

ABSTRACT Background : The satisfactory outcome in the surgical treatment of obesity must include, in addition to weight loss, a significant change in the pre-existing comorbidities and in the quality of life of the patients. Aim : To evaluate the quality of life in the late postoperative period in patients that underwent videolaparoscopic sleeve gastrectomy. Methods : Was applied the questionnaire “Bariatric Analysis and Reporting Outcome System” (BAROS) in patients that underwent videolaparoscopic sleeve gastrectomy. Results : A total of 47 patients between 21-60 years old were evaluated. The total mean of the BMI before surgery was 43.06±5.87 kg/m². The average percentage of the reduction of excess weight after surgery was 85.46±23.6%. The score obtained by patients in the questionnaire about the improvement in the quality of life showed excellent (36.17%), very good (40.43%), good (21.28%) and reasonable (2.13%) results. There was clinical improvement after surgery in all comorbidities investigated. Conclusion : BAROS showed excellent results in 36.17%, very good in 40.43%, good in 21.28% and reasonable in 2.13%. The weight loss was critical to improve the quality of life and offered the resolution or clinical improvement in all of the investigated comorbidities.

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