Subject(s)
Cerebrospinal Fluid Shunts/adverse effects , Dandy-Walker Syndrome/surgery , Headache/etiology , Hypertension, Pulmonary/complications , Pulmonary Embolism/complications , Adult , Dandy-Walker Syndrome/complications , Female , Heart Atria/surgery , Humans , Hypertension, Pulmonary/etiology , Pulmonary Embolism/diagnostic imaging , RadiographySubject(s)
Aorta, Thoracic/abnormalities , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortic Aneurysm/diagnostic imaging , Sinus of Valsalva/abnormalities , Angiography/methods , Contrast Media , Coronary Vessel Anomalies/diagnostic imaging , Female , Humans , Image Processing, Computer-Assisted/methods , Middle Aged , Tomography, X-Ray Computed/methodsABSTRACT
Multidetector CT is very useful in the evaluation of polytrauma patients. MDCT is valuable for the detection and treatment planning of vascular injuries, but it may not be available to hemodynamically unstable patients. Embolization of visceral and parietal branches of the aorta benefits from advances in catheter technology: hydrophilic catheters and microcatheters are very helpful in this context. Resorbable particles (such as gelatin) and coils are the most useful occlusive agents. Endovascular stenting of aortic rupture is nowadays considered in many centers as the best therapeutic option and can be proposed as an alternative to surgery.
Subject(s)
Abdominal Injuries/diagnostic imaging , Abdominal Injuries/therapy , Radiography, Interventional , Thoracic Injuries/diagnostic imaging , Thoracic Injuries/therapy , Embolization, Therapeutic , Humans , Male , Middle AgedABSTRACT
We report the case of traffic accident victim who suffered multiple injuries after being ejected from the vehicle. The patient suffered blunt trauma of the pelvis followed by acute ischemia of the lower limb. The initial work-up revealed minimally displaced fractures of the right and left obturator rings and the left sacral wing, as well as a non-displaced fracture of the anterior wall of the acetabulum. Computed tomography eliminated a compressive retroperitoneal hematoma. The mechanism of the injury was direct blunt trauma rupturing an atheroma plaque which led to thrombosis of the left common femoral artery. Thrombectomy three hours 30 minutes after onset of ischemia enabled complete sensorial and motor recovery. Awareness of this unusual type of injury can be helpful in conducting a rigorous physical examination to ensure rapid diagnosis and treatment.
