Vaidya Sandeep S, Bhargava Puneet, Marder Carrie P, Dighe Manjiri K
Department of Interventional Radiology, University of Washington Medical Center, Box 357115, Seattle, WA, 98195, USA.
Emerg Radiol. 2010 Jul;17(4):339-42. doi: 10.1007/s10140-010-0864-0. Epub 2010 Mar 7.
Dissection of the inferior vena cava (IVC) is rare, with only a few published reports in the literature. It is usually associated with blunt abdominal injury or iatrogenic injury from a catheter manipulation. Venous dissections are rare due to lack of well-developed layers in the walls (intima, media and adventitia), low pressure in the venous system, and the absence of atherosclerotic changes. However, IVC dissection is associated with a high mortality rate due to the difficulty in diagnosis, technically difficult surgical repair, and associated solid organ injuries. We report a case of IVC dissection from a low-speed motor vehicle collision and discuss its imaging features.
下腔静脉(IVC)解剖很少见,文献中仅有少数报道。它通常与钝性腹部损伤或导管操作引起的医源性损伤有关。静脉解剖很少见,原因是静脉壁(内膜、中膜和外膜)缺乏发育良好的层次、静脉系统压力低以及不存在动脉粥样硬化改变。然而,由于诊断困难、手术修复技术难度大以及合并实性器官损伤,下腔静脉解剖的死亡率很高。我们报告一例因低速机动车碰撞导致的下腔静脉解剖病例,并讨论其影像学特征。