Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Dec 23;16(3):560-563.
doi: 10.1016/j.radcr.2020.12.046. eCollection 2021 Mar.

Retrohepatic IVC injury: A new treatment approach with arterial stent graft

Johara AlMulhim  1 , Bader AlMutairi  2 , Shahbaz Qazi  2 , Mohammed F Mohammed  2
Affiliations
Case Reports

Retrohepatic IVC injury: A new treatment approach with arterial stent graft

Johara AlMulhim et al. Radiol Case Rep. .

Erratum in

Abstract

Traumatic injuries to the inferior vena cava (IVC) are rare and among the most dreadful injuries encountered in evaluation of both penetrating and blunt traumatic settings. Clinical outcome of IVC injury is multifactorial with injuries being classically managed surgically. In this report, we present a case of 52 years old male patient with successfully treated blunt retrohepatic IVC injury utilizing arterial stent graft and anticoagulation regime without short-term complications. Evidence based standardized approach for endovascular management of IVC injury is not yet available. We hope that our report can contribute to worldwide procedure and postprocedural anticoagulation standardization.

Keywords: Endovascular repair; Inferior vena cava injury; Stent graft.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Coronal (A) and axial (B) images of the abdomen showing large retroperitoneal hematoma with IVC wall irregularities, filling defects as well as a focal IVC wall defect without active bleeding. A note of bowel containing traumatic right lumbar hernia.
Fig. 2
Fig. 2
Frontal (A) and lateral (B) views of cavogram showing retrohepatic IVC wall irregularity and triangular filling defect representing an intimal flap. No active bleeding.
Fig. 3 –
Fig. 3
Deployment (A) and post deployment cavogram (B) showing proper position of IVC with normal contour. No filling defects or active bleeding.
Fig. 4 –
Fig. 4
Axial (A) and coronal CT (B) follow-up images showing significant improvement of retroperitoneal hematoma with stable patent retrohepatic IVC stent.
See this image and copyright information in PMC

References

    1. Giannakopoulos T.G., Avgerinos E.D. Management of peripheral and truncal venous injuries. Front Surg. 2017;4:46. - PMC - PubMed
    1. Kobayashi L.M., Costantini T.W., Hamel M.G., Dierksheide J.E., Coimbra R. Abdominal vascular trauma. Trauma Surg Acute Care Open. 2016;1(1) - PMC - PubMed
    1. Cheaito A., Tillou A., Lewis C., Cryer H. Management of traumatic blunt IVC injury. Int J Surgery Case Rep. 2016;28:26–30. - PMC - PubMed
    1. Tsai R., Raptis C., Schuerer D.J., Mellnick V.M. CT appearance of traumatic inferior vena cava injury. Am J Roentgenol. 2016;207(4):705–711. - PubMed
    1. Huerta S., Bui T.D., Nguyen T.H., Banimahd F.N., Porral D., Dolich M.O. Predictors of mortality and management of patients with traumatic inferior vena cava injuries. Am Surg. 2006;72(4):290–296. - PubMed

Publication types

LinkOut - more resources