Isolated celiac artery avulsion from blunt abdominal trauma
Introduction: Trauma-related celiac artery injuries are a rare and life-threatening pathology that often requires urgent multidisciplinary care. Rarer still are cases of celiac artery avulsion in the setting of blunt trauma. There is little literature describing such injury patterns. The farthest-re...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023000924 |
| _version_ | 1827924500388249600 |
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| author | Gregory P. Mouradian Erich Wessel Kirk Hance Jocelyn Hunter |
| author_facet | Gregory P. Mouradian Erich Wessel Kirk Hance Jocelyn Hunter |
| author_sort | Gregory P. Mouradian |
| collection | DOAJ |
| description | Introduction: Trauma-related celiac artery injuries are a rare and life-threatening pathology that often requires urgent multidisciplinary care. Rarer still are cases of celiac artery avulsion in the setting of blunt trauma. There is little literature describing such injury patterns. The farthest-reaching is a case series by Kronich et al. 2017, which compiles eleven cases. The majority of these injuries were incomplete intimal injuries only appreciated on admission imaging. A further literature review reveals five cases of full avulsions in the setting of blunt trauma. Management varied dramatically among these cases. The multidisciplinary nature of vascular trauma, in combination with new vascular repair techniques provides a paradox of choice regarding acute management in unusual presentations. With intuitional review board approval, we report a case of blunt trauma with complete celiac trunk avulsion in a patient with aberrant visceral vascular anatomy, managed with open exploration and ligation. |
| first_indexed | 2024-03-13T05:11:45Z |
| format | Article |
| id | doaj.art-2568a72e72b74d99b046e6bc90c5247b |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-13T05:11:45Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-2568a72e72b74d99b046e6bc90c5247b2023-06-16T05:10:08ZengElsevierTrauma Case Reports2352-64402023-08-0146100844Isolated celiac artery avulsion from blunt abdominal traumaGregory P. Mouradian0Erich Wessel1Kirk Hance2Jocelyn Hunter3University of Kansas Department of Surgery, Kansas City, KS, United States of America; University of Kansas Medical School, Kansas City, KS, United States of AmericaUniversity of Kansas Department of Surgery, Kansas City, KS, United States of America; University of Kansas Medical School, Kansas City, KS, United States of AmericaUniversity of Kansas Department of Surgery, Kansas City, KS, United States of America; University of Kansas Medical School, Kansas City, KS, United States of AmericaCorresponding author.; University of Kansas Department of Surgery, Kansas City, KS, United States of America; University of Kansas Medical School, Kansas City, KS, United States of AmericaIntroduction: Trauma-related celiac artery injuries are a rare and life-threatening pathology that often requires urgent multidisciplinary care. Rarer still are cases of celiac artery avulsion in the setting of blunt trauma. There is little literature describing such injury patterns. The farthest-reaching is a case series by Kronich et al. 2017, which compiles eleven cases. The majority of these injuries were incomplete intimal injuries only appreciated on admission imaging. A further literature review reveals five cases of full avulsions in the setting of blunt trauma. Management varied dramatically among these cases. The multidisciplinary nature of vascular trauma, in combination with new vascular repair techniques provides a paradox of choice regarding acute management in unusual presentations. With intuitional review board approval, we report a case of blunt trauma with complete celiac trunk avulsion in a patient with aberrant visceral vascular anatomy, managed with open exploration and ligation.http://www.sciencedirect.com/science/article/pii/S2352644023000924Celiac avulsionTraumaBlunt |
| spellingShingle | Gregory P. Mouradian Erich Wessel Kirk Hance Jocelyn Hunter Isolated celiac artery avulsion from blunt abdominal trauma Trauma Case Reports Celiac avulsion Trauma Blunt |
| title | Isolated celiac artery avulsion from blunt abdominal trauma |
| title_full | Isolated celiac artery avulsion from blunt abdominal trauma |
| title_fullStr | Isolated celiac artery avulsion from blunt abdominal trauma |
| title_full_unstemmed | Isolated celiac artery avulsion from blunt abdominal trauma |
| title_short | Isolated celiac artery avulsion from blunt abdominal trauma |
| title_sort | isolated celiac artery avulsion from blunt abdominal trauma |
| topic | Celiac avulsion Trauma Blunt |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023000924 |
| work_keys_str_mv | AT gregorypmouradian isolatedceliacarteryavulsionfrombluntabdominaltrauma AT erichwessel isolatedceliacarteryavulsionfrombluntabdominaltrauma AT kirkhance isolatedceliacarteryavulsionfrombluntabdominaltrauma AT jocelynhunter isolatedceliacarteryavulsionfrombluntabdominaltrauma |