Isolated traumatic supradiaphragmatic transection of the inferior vena cava associated with seat belt and airbag use in motor vehicle crashes

The insertion of inferior vena cava filters (IVCF) is a well-known therapy used in the prevention of pulmonary embolism (PE). The incidence of IVCF-related complications is low and complete caval penetration of a filter with adjacent organ injury has a reported incidence of 0–1%. We report the case of an 18-year-old male who sustained a spinal cord injury after a motor vehicle crash. The patient received a prophylactic IVCF and subsequently presented with right flank pain, postprandial nausea, and vomiting. His exam was benign and a computed tomography scan revealed extra-caval penetration of the filter with struts within the duodenal lumen and psoas muscle. The patient underwent an exploratory laparotomy with extraction of the filter, inferior vena cava venorrhaphy, and repair of the duodenal injury. This complication illustrates the potential morbidity of a common procedure and emphasizes the importance of investigating the IVCF as a possible source of abdominal pain.

Download Full-text

THE RELATIVE INFLUENCE OF ALCOHOL AND SEAT BELT USAGE ON SEVERITY OF INJURY FROM MOTOR VEHICLE CRASHES

Journal of Trauma and Acute Care Surgery ◽

10.1097/00005373-198909000-00027 ◽

1989 ◽

Vol 29 (9) ◽

pp. 1301

Author(s):

J Andersen ◽

B McLellan ◽

G Pagliarello ◽

W Nelson

Keyword(s):

Motor Vehicle ◽

Seat Belt ◽

Motor Vehicle Crashes ◽

Relative Influence ◽

Vehicle Crashes ◽

Severity Of Injury

Download Full-text

Liver Trauma and Transection of the Inferior Vena Cava

Acta Radiologica ◽

10.1177/028418519203300312 ◽

1992 ◽

Vol 33 (3) ◽

pp. 255-257 ◽

Cited By ~ 1

Author(s):

D. R. Radin

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Seat Belt ◽

Contrast Material ◽

Vena Cava ◽

Left Lobe ◽

Liver Trauma ◽

Fracture Site ◽

Hepatic Veins ◽

Seat Belt Injury

CT of a child with severe liver trauma due to a seat belt injury demonstrated avulsion of a portion of the lateral segment of the left lobe of the liver. The location of nondependent extravasated contrast material aided in identification of the visceral fracture site (the sentinel contrast sign). Associated transection of the inferior vena cava was evidenced by hypoattenuating zones adjacent to all the major hepatic veins and vena cava (hepatic perivenous tracking). Recognition of these two signs is important so that the radiologist can help the surgeon select the optimal operative approach.

Download Full-text

Incidental diagnosis of an epithelioid hemangioendothelioma of the inferior vena cava in a teenager after a motor vehicle accident

Pediatric Blood & Cancer ◽

10.1002/pbc.29538 ◽

2021 ◽

Author(s):

Caroline P. Lemoine ◽

Hannah Lust ◽

Elizabeth Sokol ◽

Pauline M. Chou ◽

Riccardo A. Superina

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Vena Cava ◽

Epithelioid Hemangioendothelioma ◽

Incidental Diagnosis ◽

Vehicle Accident

Download Full-text

Delayed presentation of blunt inferior vena cava injury following high-speed motor vehicle collision

Trauma ◽

10.1177/1460408620924934 ◽

2020 ◽

Vol 22 (4) ◽

pp. 312-315

Author(s):

Haley Tupper ◽

Shelby Reiter ◽

Colin J Rog ◽

Bryce French ◽

Paul Greg Hayes

Keyword(s):

Inferior Vena Cava ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Inferior Vena ◽

Motor Vehicle ◽

Vena Cava ◽

Motor Vehicle Collision ◽

Vehicle Collision ◽

Vena Cava Thrombosis ◽

Inferior Vena Cava Thrombosis

This is a report of a case of acute-on-chronic inferior vena cava thrombosis 10 years following blunt abdominal trauma from a motor vehicle collision. Although more common risk factors for this pathology include anatomical variation or the long-standing presence of an inferior vena cava filter, history of blunt abdominal trauma serves as a rare etiology. Fewer than 20 cases of inferior vena cava thrombosis following blunt abdominal trauma have been reported in the literature, and most describe a presentation within weeks of inciting trauma. The lengthy time to diagnosis and acute-on-chronic presentation given substantial reconstitution of circulation by collateral veins make this case unique in the literature.

Download Full-text