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Delayed aortic rupture following perforating trauma.

Xuefei Yang1, Ligang Xia1, Kai Pan1

  • 11 Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518053, China ; 2 Department of Gastrointestinal Surgery, Shenzhen People's Hospital & Second Clinical Medical College of Jinan University, Shenzhen 518020, China.

Annals of Translational Medicine
|November 19, 2014
PubMed
Summary
This summary is machine-generated.

Delayed aortic rupture after abdominal stab wounds is rare. This case report details a patient who developed a fatal aortic rupture five days post-surgery, highlighting the importance of recognizing this delayed trauma complication.

Keywords:
Delayed aortic rupturelaparotomytrauma

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Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Emergency Medicine

Background:

  • Aortic rupture from stab wounds typically presents with immediate, high mortality.
  • Delayed aortic rupture following trauma is an infrequently documented occurrence.

Observation:

  • A patient presented with an upper abdominal stab wound and underwent emergency exploratory laparotomy.
  • Initial laparotomy revealed no aortic injury, but a large retroperitoneal hematoma developed on postoperative day five.
  • The patient succumbed to the delayed aortic rupture, confirmed by autopsy.

Findings:

  • The case highlights a rare instance of delayed aortic rupture, emphasizing that initial negative findings during surgery do not exclude later complications.
  • The development of a retroperitoneal hematoma signaled the catastrophic event.

Implications:

  • This case underscores the need for heightened clinical suspicion and vigilant monitoring for delayed aortic rupture in patients with abdominal trauma, even after negative initial surgical exploration.
  • Understanding the pathophysiological mechanisms of delayed rupture is crucial for improving patient outcomes in trauma care.