Sato Toshiki, Otsuka Hiroyuki, Iizuka Shinichi, Uehata Atsushi, Takeda Michihiro, Morita Seiji, Nakagawa Yoshihide
Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2020 Jul 20;45(2):88-91.
Although the outcomes of patients with retrohepatic inferior vena cava (IVC) injury have improved because of damage control (DC) strategies, some rare complications have been observed.
We present the case of a 35-year-old man with diverticulum-like projections (DLPs) of the retrohepatic IVC that occurred following peri-IVC packing based on DC strategies. The DLPs were treated conservatively with anticoagulant therapy and he recovered completely.
Caution must be exercised regarding such rare complications after abbreviated surgery. Conservative therapy may be the optimal treatment for patients with DLPs of the retrohepatic IVC after peri-IVC packing.
尽管由于损伤控制（DC）策略，肝后下腔静脉（IVC）损伤患者的预后有所改善，但仍观察到一些罕见并发症。
我们报告一例35岁男性患者，基于DC策略在IVC周围进行填塞后，肝后IVC出现憩室样突出（DLP）。DLP采用抗凝治疗进行保守治疗，患者完全康复。
对于简化手术后出现的此类罕见并发症必须谨慎。保守治疗可能是IVC周围填塞后肝后IVC出现DLP患者的最佳治疗方法。
