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Traumatic Injury to the Portal Vein With Shock Bowel
Nicholas C Cleveland1, Don N Nguyen2, Cassie D Tran3
1Lake Erie College of Osteopathic Medicine, Erie, PA.
Current Problems in Diagnostic Radiology
|November 7, 2017
Summary
A rare portal vein aneurysm caused severe bleeding in a trauma patient. Early diagnosis is crucial for managing this life-threatening condition following abdominal injury.
Area of Science:
- Vascular Surgery
- Radiology
- Trauma Management
Background:
- Portal vein aneurysms are rare dilatations of the portal vein wall.
- They present a diagnostic challenge with potential for severe complications.
- Abdominal trauma can precipitate or reveal these aneurysms.
Observation:
- A 68-year-old male presented with hypotension and abdominal hemorrhage post-motor vehicle collision.
- Initial ultrasound revealed abdominal bleeding; exploratory laparotomy was performed.
- Computed tomography identified a portal vein pseudoaneurysm and shock bowel.
Findings:
- The patient's condition was attributed to a ruptured portal vein pseudoaneurysm.
- Surgical intervention was necessary to control hemorrhage.
- Shock bowel indicated compromised intestinal perfusion.
Implications:
- Radiologists should include portal vein aneurysms in the differential diagnosis for hypotension after abdominal trauma.
- Prompt recognition and management are vital for patient survival.
- This case underscores the importance of advanced imaging in trauma assessment.
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