Nucifora Gaetano, Hysko Fjoralba, Vasciaveo Annarosa
Cardiopulmonary Science Department, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, P.le S.Maria della Misericordia, 15, 33100 Udine, Italy.
Emerg Radiol. 2008 May;15(3):211-3. doi: 10.1007/s10140-007-0649-2. Epub 2007 Jul 10.
Blunt abdominal aortic trauma is a rare but potentially lethal event. It is commonly associated with high-speed motor vehicle accidents. Intimal flap, thrombosis, and pseudoaneurysm of the abdominal aorta are the more common findings. We present a case of blunt abdominal aortic trauma in which CT disclosed free aortic rupture with intraabdominal bleeding and a huge retroperitoneal hematoma, an extremely rare finding among patients reaching the hospital alive, due to its high and immediate mortality rate.
钝性腹主动脉创伤是一种罕见但可能致命的事件。它通常与高速机动车事故相关。腹主动脉内膜瓣、血栓形成和假性动脉瘤是较常见的表现。我们报告一例钝性腹主动脉创伤病例,CT显示主动脉游离破裂伴腹腔内出血和巨大腹膜后血肿,这在存活至医院的患者中是极其罕见的发现,因其死亡率高且迅速。