Kay Tegan J, Rahman Zafreen, Musicki Korana, Atkinson Noel, Martin Katherine
Department of General Surgery, 300 Grattan Street, Parkville, Victoria 3052, Australia.
Department of Vascular Surgery, 300 Grattan Street, Parkville, Victoria 3052, Australia.
J Surg Case Rep. 2023 Nov 12;2023(11):rjad615. doi: 10.1093/jscr/rjad615. eCollection 2023 Nov.
Coeliac artery (CA) injuries are an extremely rare subset of blunt abdominal trauma with a reported incidence of only 0.01%. Patterns of CA injury include intimal tear, dissection, thrombosis and pseudoaneurysm, with the most rare being complete CA avulsion. These complex injuries pose a treatment challenge due to rapid blood loss and anatomical difficultly in achieving proximal and multiple points of distal vascular control. To our knowledge, this case of CA avulsion from blunt polytrauma is only the 7th case reported in the literature. To assist in management, we report a case of blunt traumatic CA avulsion managed successfully with open ligation following endovascular balloon occlusion of the juxta-coeliac aorta for haemorrhage control.
腹腔干（CA）损伤是钝性腹部创伤中极为罕见的一种情况，据报道其发生率仅为0.01%。CA损伤的类型包括内膜撕裂、夹层形成、血栓形成和假性动脉瘤，其中最罕见的是CA完全撕脱。这些复杂损伤因失血迅速以及在实现近端和多个远端血管控制点时存在解剖学困难而给治疗带来挑战。据我们所知，这例因钝性多发伤导致的CA撕脱是文献中报道的第7例。为辅助治疗，我们报告一例钝性创伤性CA撕脱病例，该病例在近腹腔干主动脉进行血管内球囊闭塞以控制出血后，通过开放结扎成功治愈。
