1 / 22

IVC TRAUMA

IVC TRAUMA. NORTHERN TRAUMA CONFERENCE 2014. IVC TRAUMA. Penetrating Blunt Non Non. IVC Trauma due to penetrating injury. High mortality (70%) Higher if other associated vascular injuries Recognised as a severe marker of injury Consider other involved structures. IVC TRAUMA - Imaging.

seda
Download Presentation

IVC TRAUMA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. IVC TRAUMA • NORTHERN TRAUMA CONFERENCE 2014

  2. IVC TRAUMA • Penetrating • Blunt • Non • Non

  3. IVC Trauma due to penetrating injury • High mortality (70%) • Higher if other associated vascular injuries • Recognised as a severe marker of injury • Consider other involved structures

  4. IVC TRAUMA - Imaging • Range of injuries • Severity of injury • Difficulty of imaging - rate of blood loss and poor identification • Rare finding. They often die before reaching CT

  5. IVC TRAUMA - IMAGING SIGNS • Index of suspicion. If you don't look for it, you won't find it. • Active bleeding on CT • Retro peritoneal haematoma • Adjacent organ injury or other injuries • Flat IVC • Direct/indirect. Two lists

  6. DIRECT Extravasation Retroperitoneal haematoma INDIRECT Adjacent injuries Pericaval oedema Hypovolaemia IVC Injury – Imaging signs

  7. Hypovolaemia

  8. Hypovolaemia

  9. American Association for the Surgery of Trauma Organ Injury Scale for Vascular Injuries

  10. IVC Injury - Penetrating • 24 year old male • 0100 Stabbed in back • 0230 Arrived in TU ED • 0500 CT scan • 0730 Laparotomy • 1000 Transfer to Cardiothoracic Surgery

  11. IVC Injury - Penetrating

  12. IVC Injury - Penetrating

  13. IVC Injury

  14. IVC Injury - Blunt • 22 year old male • RTC – two vehicle head on collision. Driver of vehicle • Direct to MTC

  15. IVC Injury - Blunt • 22 year old male • RTC – two vehicle head on collision. Driver of vehicle • Direct to MTC • Injuries include • Left hepatic contusion • Ruptured left hemidiaphragm

  16. IVC Injury - Blunt • 22 year old male • RTC – two vehicle head on collision. Driver of vehicle • Direct to MTC • Injuries include • Left hepatic contusion • Ruptured left hemidiaphragm

  17. IVC injury – blunt trauma

  18. IVC injury – blunt trauma

  19. IVC Injury - Blunt • 22 year old male • RTC – two vehicle head on collision. Driver of vehicle • Direct to MTC • Injuries include • Left hepatic contusion • Ruptured left hemidiaphragm • Retroperitoneal haematoma 2ary to IVC laceration

  20. IVC Injury - Blunt • Repaired surgically (along with other injuries) • Good recovery

  21. IVC TRAUMA - SUMMARY • Marker of v severe injury • Rarely reaches imaging • Awareness of potential allows recognition • Underestimation of depth of penetration in penetrating injury • Underestimation of haemorrhage in penetrating injury

More Related