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- 저자 : 정필영 ( Pil Young Jung ) (검색결과 1 건)
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복부 둔상 환자에서 골반 골절을 동반하지 않고 발생한 총장골동맥 손상 증례
정필영 ( Pil Young Jung ),변천성 ( Chun Sung Byun ),오중환 ( Joong Hwan Oh ),배금석 ( Keum Seok Bae ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
Blunt abdominal trauma may often cause multiple vascular injuries. However, common iliac artery injuries without associated bony injury are very rarely seen in trauma patients. In the present case, a 77-year-old male patient who had no medical history was admitted via the emergency room with blunt abdominal trauma caused by a forklift. At admission, the patient was in shock and had abdominal distension. On abdomino-pelvic computed tomography (CT), the patient was seen to have hemoperitoneum, right common iliac artery thrombosis and left common iliac artery rupture. During surgery, an additional injury to inferior vena cava was confirmed, and a primary repair of the inferior vena cava was successfully performed. However, the bleeding from the left common iliac artery could not be controlled, even with multiple sutures, so the left common iliac artery was ligated. Through an inguinal skin incision, the right common iliac artery thrombosis was removed with a Forgaty catheter and a femoral-to-femoral bypass graft was successfully performed. After the post-operative 13th day, on a follow-up CT angiography, the femoral-to-femoral bypass graft was seen to have good patency, but a right common iliac artery dissection was diagnosed. Thus, a right common iliac artery stent was inserted. Finally, the patient was discharged without complications. [ J Trauma Inj 2014;27:215-8 ]
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