Sequential aortic and inferior vena caval clamping for control of suprarenal vena caval injuries: case report

Area of Science:

• Trauma surgery
• Pediatric surgery
• Vascular repair

Background:

• Massive upper abdominal injuries pose significant surgical challenges.
• Gunshot wounds in children require specialized and rapid intervention.
• Hemodynamic instability is a major concern in severe abdominal trauma.

Observation:

• A pediatric patient sustained a massive upper abdominal injury from a gunshot wound.
• The injury necessitated complex surgical repair.
• Sequential clamping of the aorta and inferior vena cava was employed.

Findings:

• The surgical technique involved sequential clamping of the aorta at the diaphragmatic hiatus and the inferior vena cava within the pericardium.
• This stabilization method facilitated further necessary repairs.
• The patient achieved apparent full recovery one year post-operation.

Implications:

• This case highlights a successful approach to managing life-threatening pediatric abdominal trauma.
• The described clamping technique offers a viable strategy for stabilizing patients during complex vascular repairs in pediatric trauma.
• Effective surgical management can lead to long-term positive outcomes in critically injured children.