Blunt inferior vena cava injury associated with AAST-grade V hepatic and renal injuries: A case report
Author(s): Kwok-Wan Yeung
A 56-year-old female patient presented with right chest and upper abdominal pain in a motorcycle accident. Hypotension and low blood hemoglobin were noted. Contrast-enhanced multi detector computed tomography showed hemoperitoneum, retroperitoneal hematoma, injury of the retro hepatic and suprarenal segments of inferior vena cava, grade V hepatic injury, and grade V right renal injury involving the right main renal vein according to the American Association for the Surgery of Trauma. The surgeon repaired the inferior vena cava, ligated the right renal vein, and packed the liver laceration with pads and gauzes during emergency exploratory laparotomy. The condition remained stable until repeated active bleeding of the liver laceration occurred on the 20th post-operative day, which was successfully managed by trans arterial embolization. The patient was discharged with an eventful course on the 41st hospitalization day.