Abstract
Here, in the present case the authors report a patient with IVC injury repaired by venorrhpy and it can be performed by a team led by general surgeon. Inferior vena cava injuries remain a challenge for the skill, experience and diligence of a surgeon. Not only vascular surgeons, but all surgeons should be familiar with the principles of their treatment. A case of the inferior vena cava injury encountered after penetrating abdominal trauma in old age man with hemorrhagic shock with about 4 cm vertical tear of juxta-renal vena cava, survived due to immediate transportation, appropriate and successful perioperative fluid and blood resuscitation, prompt surgical management with team approach and critical postoperative surgical management without any residual complication. IVC injuries are associated with high mortality. Patients presenting with clinical and physiological evidence of shock and who require “damage control” surgery are more likely to suffer a worse outcome, particularly when multiple physiological derangements are present.
Highlights
Injuries to the inferior vena cava (IVC) are rare, and occur more commonly following penetrating (0.5% to 5.0%) than blunt (0.6% to 1.0%) trauma
The majority of patients with IVC injuries meet the criteria for damage control surgery, and ligation of the IVC is a frequent strategy
Injuries to the IVC are one of the most challenging injuries encountered by trauma surgeons and are mostly caused by penetrating
Summary
Injuries to the inferior vena cava (IVC) are rare, and occur more commonly following penetrating (0.5% to 5.0%) than blunt (0.6% to 1.0%) trauma. They are associated with a high mortality. Some centers have reported that it constitutes up to 40% of all abdominal vascular injuries [1] The management of these injuries is usually challenging since they are rarely isolated, and are often associated with serious adjacent solid and/or hollow visceral injuries. The majority of patients with IVC injuries meet the criteria for damage control surgery, and ligation of the IVC is a frequent strategy. There is little doubt that this is a lifesaving measure, the associated morbidity after cava ligation has not been clearly elucidated [3]
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