Traumatic Blunt Injuries to the Celiac Artery: A 5-Year Review From a Level I Trauma Center.

The American Surgeon
Caitlin A FitzgeraldJonathan Nguyen

Abstract

Injury to the celiac artery secondary to a blunt mechanism of trauma is an extremely rare injury that accounts for only 1%-2% of all visceral vascular lesions. Although rare, this injury is associated with significant mortality. Despite this high mortality, there are currently only a few published case series of blunt celiac artery injuries in the literature. This study sought to review all cases of blunt celiac artery injuries that presented to our Level I trauma center over a 5-year period. This was a retrospective chart review of all patients who presented with a traumatic blunt celiac artery injury between January 2012 and March 2017. A total of 10 patients met the inclusion criteria for this study. The majority of patients were male (7/10, 70%), the average age was 38.3 ± 16.1 years, and overall mortality was 20% (2/10). On average, patients spent 10.2 ± 6.5 days in the hospital, 4.4 ± 4.5 days in the ICU, and 1.6 ± 2.0 days on the ventilator. The majority of patients presented with either an intimal dissection (3/10, 30%) or an intraluminal thrombus (3/10, 30%). Other injuries included pseudoaneurysms (2/10, 20%), complete avulsion (1/10, 10%), and an intimal dissection with thrombus (1/10, 10%). Of these injuries, 2 (20%...Continue Reading

References

Apr 1, 1986·The Journal of Trauma·K D AccolaG L Jordan
Oct 2, 1998·Journal of Vascular and Interventional Radiology : JVIR·D B BrownP N Waybill
Feb 22, 2001·American Journal of Surgery·J A AsensioT V Berne
Mar 22, 2002·The Surgical Clinics of North America·Juan A AsensioThomas V Berne
May 19, 2005·Southern Medical Journal·Juan A AsensioEric Kuncir
Dec 23, 2011·Cardiovascular and Interventional Radiology·In Young ChoiHyung-Seok Seo

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Methods Mentioned

BETA
dissection
lavage
SMA
dissections

Software Mentioned

Excel
GraphPad
GraphPad Prism

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