Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS

Summary: We report a case regarding a 24-year-old male with severe intraabdominal complex vascular lesions involving the superior mesenteric vein (SMV), portal vein (PV), inferior vena cava (IVC), the Common Hepatic and Gastroduodenal arteries (CHA and GDA) in combination with a total transection of...

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Main Authors: Hans Christian Rolff, Jan Henrik Storkholm
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023000055
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author Hans Christian Rolff
Jan Henrik Storkholm
author_facet Hans Christian Rolff
Jan Henrik Storkholm
author_sort Hans Christian Rolff
collection DOAJ
description Summary: We report a case regarding a 24-year-old male with severe intraabdominal complex vascular lesions involving the superior mesenteric vein (SMV), portal vein (PV), inferior vena cava (IVC), the Common Hepatic and Gastroduodenal arteries (CHA and GDA) in combination with a total transection of the pancreatic neck following a single penetrating trauma to the upper abdomen.The management of the splanchnic vascular lesions were further complicated by the patient having pre-existing vascular condition known as Median Arcuate Ligament Syndrome (MALS). The MALS aspect makes this case unique and interesting to all trauma surgeons. Furthermore, this case report also reflects on the management of severe pancreatic trauma in the setting of the aforementioned vascular lesions.
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spelling doaj.art-93876463813645ffb59e47fb7327dcc62023-02-09T04:14:16ZengElsevierTrauma Case Reports2352-64402023-02-0143100757Major vascular and pancreatic penetrating trauma in patient with pre-existing MALSHans Christian Rolff0Jan Henrik Storkholm1Corresponding author.; Department of Surgery and Transplantation, Rigshospitalet, Copenhagen, DenmarkDepartment of Surgery and Transplantation, Rigshospitalet, Copenhagen, DenmarkSummary: We report a case regarding a 24-year-old male with severe intraabdominal complex vascular lesions involving the superior mesenteric vein (SMV), portal vein (PV), inferior vena cava (IVC), the Common Hepatic and Gastroduodenal arteries (CHA and GDA) in combination with a total transection of the pancreatic neck following a single penetrating trauma to the upper abdomen.The management of the splanchnic vascular lesions were further complicated by the patient having pre-existing vascular condition known as Median Arcuate Ligament Syndrome (MALS). The MALS aspect makes this case unique and interesting to all trauma surgeons. Furthermore, this case report also reflects on the management of severe pancreatic trauma in the setting of the aforementioned vascular lesions.http://www.sciencedirect.com/science/article/pii/S2352644023000055Penetrating traumaVascular lesionsPancreatic lesion and Median Arcuate Ligament Syndrome (MALS)
spellingShingle Hans Christian Rolff
Jan Henrik Storkholm
Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
Trauma Case Reports
Penetrating trauma
Vascular lesions
Pancreatic lesion and Median Arcuate Ligament Syndrome (MALS)
title Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
title_full Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
title_fullStr Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
title_full_unstemmed Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
title_short Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
title_sort major vascular and pancreatic penetrating trauma in patient with pre existing mals
topic Penetrating trauma
Vascular lesions
Pancreatic lesion and Median Arcuate Ligament Syndrome (MALS)
url http://www.sciencedirect.com/science/article/pii/S2352644023000055
work_keys_str_mv AT hanschristianrolff majorvascularandpancreaticpenetratingtraumainpatientwithpreexistingmals
AT janhenrikstorkholm majorvascularandpancreaticpenetratingtraumainpatientwithpreexistingmals