Blunt injury of the infrarenal inferior vena cava - imaging and conservative management : trauma

Isolated rupture of the infrarenal segment of the inferior vena cava due to blunt trauma is relatively rare. It may be missed clinically and even diagnostic peritoneal lavage may prove negative. The mainstay of diagnosis remains a high degree of clinical suspicion together with sectional imaging. If the patient is haemodynamically stable after initial resuscitation and there is no other indication for exploratory surgery; these lesions can be managed conservatively with good outcome as shown in the case described in this report

Immediate endovascular stent-graft repair of an acute traumatic rupture of the thoracic aorta : case report

We describe a case of emergency endovascular stentgraft placement for acute traumatic rupture of the thoracic aorta in a patient with an associated unstable type II odontoid fracture. The stent-graft placement procedure was performed within 4 hours of admission under sedation and local anaesthesia while the neck remained externally splinted. After exclusion of the rupture the patient could then undergo treatment of the associated cervical fracture and other injuries