Nonoperative Management of a Penetrating Injury to the Retrohepatic Inferior Vena Cava
Given the anatomic confines of the region-the reduced ability to expose, control, and ultimately repair these injuries it is no wonder that there is an upwards of a 70 per cent mortality rate.1 Although no doubt remains as to the necessity of operative repair in patients with active IVC hemorrhage,...
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Veröffentlicht in: | The American surgeon 2016-08, Vol.82 (8), p.212-213 |
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description | Given the anatomic confines of the region-the reduced ability to expose, control, and ultimately repair these injuries it is no wonder that there is an upwards of a 70 per cent mortality rate.1 Although no doubt remains as to the necessity of operative repair in patients with active IVC hemorrhage, there is less certainty in patients who present with contained injury or hematoma. Case Description The patient is a 25-year-old male who presented to the trauma emergency department of University Hospital in Newark, New Jersey, with two right-sided gunshot wounds: a posterior, paraspinal wound located at the T11 level and a posterior axillary line wound located at the T9 to T10 level. |
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Case Description The patient is a 25-year-old male who presented to the trauma emergency department of University Hospital in Newark, New Jersey, with two right-sided gunshot wounds: a posterior, paraspinal wound located at the T11 level and a posterior axillary line wound located at the T9 to T10 level.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481608200815</identifier><identifier>PMID: 27657572</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Embolization, Therapeutic ; Hemorrhage ; Humans ; Injuries ; Intensive care ; Kidney - injuries ; Male ; Medical imaging ; Mortality ; Patients ; Phlebography ; Thrombosis ; Tomography, X-Ray Computed ; Veins & arteries ; Vena Cava, Inferior - injuries ; Wounds, Gunshot - diagnostic imaging ; Wounds, Gunshot - therapy</subject><ispartof>The American surgeon, 2016-08, Vol.82 (8), p.212-213</ispartof><rights>2016 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Aug 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-b66e2d107b4c8bdd5adffac3d2b7e14661220c157386016c1312d934b037bcc13</citedby><cites>FETCH-LOGICAL-c415t-b66e2d107b4c8bdd5adffac3d2b7e14661220c157386016c1312d934b037bcc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481608200815$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481608200815$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27657572$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGreevy, Christopher M.</creatorcontrib><creatorcontrib>Anjaria, Devashish J.</creatorcontrib><creatorcontrib>Kunac, Anastasia</creatorcontrib><title>Nonoperative Management of a Penetrating Injury to the Retrohepatic Inferior Vena Cava</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Given the anatomic confines of the region-the reduced ability to expose, control, and ultimately repair these injuries it is no wonder that there is an upwards of a 70 per cent mortality rate.1 Although no doubt remains as to the necessity of operative repair in patients with active IVC hemorrhage, there is less certainty in patients who present with contained injury or hematoma. Case Description The patient is a 25-year-old male who presented to the trauma emergency department of University Hospital in Newark, New Jersey, with two right-sided gunshot wounds: a posterior, paraspinal wound located at the T11 level and a posterior axillary line wound located at the T9 to T10 level.</description><subject>Adult</subject><subject>Embolization, Therapeutic</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intensive care</subject><subject>Kidney - injuries</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Mortality</subject><subject>Patients</subject><subject>Phlebography</subject><subject>Thrombosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Veins & arteries</subject><subject>Vena Cava, Inferior - injuries</subject><subject>Wounds, Gunshot - diagnostic imaging</subject><subject>Wounds, Gunshot - therapy</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kF1LwzAUhoMoOqd_wAsJeONNNSdtku5Shh-D-YHobkuanurGlsykHezfm7IpongVTt7nvAkPISfALgCUumSMpZBmOUiWc8ZyEDukB0KIZJDzdJf0OiDpiANyGMIsjpkUsE8OuJJCCcV7ZPLgrFui1810hfReW_2GC7QNdTXV9AktNl1m3-jIzlq_po2jzTvS53jv3nEZMxOjGv3UeTpBq-lQr_QR2av1PODx9uyT15vrl-FdMn68HQ2vxonJQDRJKSXyCpgqM5OXVSV0VdfapBUvFUImJXDODAiV5pKBNJACrwZpVrJUlSaOfXK-6V1699FiaIrFNBicz7VF14YCoggWBQwGET37hc5c6238XaSAy4xlqivkG8p4F4LHulj66UL7dQGs6KwXf63HpdNtdVsusPpe-dIcgcsNEKLeH-_-X_kJg92IbQ</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>McGreevy, Christopher M.</creator><creator>Anjaria, Devashish J.</creator><creator>Kunac, Anastasia</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201608</creationdate><title>Nonoperative Management of a Penetrating Injury to the Retrohepatic Inferior Vena Cava</title><author>McGreevy, Christopher M. ; Anjaria, Devashish J. ; Kunac, Anastasia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-b66e2d107b4c8bdd5adffac3d2b7e14661220c157386016c1312d934b037bcc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Embolization, Therapeutic</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Injuries</topic><topic>Intensive care</topic><topic>Kidney - injuries</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Mortality</topic><topic>Patients</topic><topic>Phlebography</topic><topic>Thrombosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Veins & arteries</topic><topic>Vena Cava, Inferior - injuries</topic><topic>Wounds, Gunshot - diagnostic imaging</topic><topic>Wounds, Gunshot - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McGreevy, Christopher M.</creatorcontrib><creatorcontrib>Anjaria, Devashish J.</creatorcontrib><creatorcontrib>Kunac, Anastasia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McGreevy, Christopher M.</au><au>Anjaria, Devashish J.</au><au>Kunac, Anastasia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonoperative Management of a Penetrating Injury to the Retrohepatic Inferior Vena Cava</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2016-08</date><risdate>2016</risdate><volume>82</volume><issue>8</issue><spage>212</spage><epage>213</epage><pages>212-213</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Given the anatomic confines of the region-the reduced ability to expose, control, and ultimately repair these injuries it is no wonder that there is an upwards of a 70 per cent mortality rate.1 Although no doubt remains as to the necessity of operative repair in patients with active IVC hemorrhage, there is less certainty in patients who present with contained injury or hematoma. Case Description The patient is a 25-year-old male who presented to the trauma emergency department of University Hospital in Newark, New Jersey, with two right-sided gunshot wounds: a posterior, paraspinal wound located at the T11 level and a posterior axillary line wound located at the T9 to T10 level.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27657572</pmid><doi>10.1177/000313481608200815</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Embolization, Therapeutic Hemorrhage Humans Injuries Intensive care Kidney - injuries Male Medical imaging Mortality Patients Phlebography Thrombosis Tomography, X-Ray Computed Veins & arteries Vena Cava, Inferior - injuries Wounds, Gunshot - diagnostic imaging Wounds, Gunshot - therapy |
title | Nonoperative Management of a Penetrating Injury to the Retrohepatic Inferior Vena Cava |
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