Journal
CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 15, Issue 3, Pages -Publisher
CUREUS INC
DOI: 10.7759/cureus.36746
Keywords
inferior vena cava injury; hepatic trauma; blunt trauma; non-operative management; traumatic inferior vena cava injury; blunt abdominal trauma
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This report investigates the non-operative management of a 52-year-old female driver who suffered a blunt retrohepatic inferior vena cava (IVC) injury. The patient was found to have IVC disruption with contrast leakage on a computed tomography (CT) scan. The literature on IVC anatomy, traumatic injuries, and management is reviewed, and it is concluded that a stable patient with an isolated blunt traumatic IVC injury can be successfully treated nonoperatively.
Traumatic inferior vena cava (IVC) injuries are often fatal. Blunt IVC injuries are encountered less often. Conservative management, albeit an option, is not often discussed in the literature. This report explores the non-operative management of a 52-year-old female unrestrained driver who presented with a blunt retrohepatic IVC injury identified on a computed tomography (CT) scan that revealed IVC disruption with extravasation of contrast. Here, we discuss the nonoperative management of the patient and review the literature concerning IVC anatomy, traumatic injuries, and management. We conclude that a hemodynamically stable patient with an isolated blunt traumatic IVC injury can be managed nonoperatively.
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