Transection of the Retrohepatic Vena Cava in a Case of Total Situs Inversus Following Blunt Trauma

Jones, David J.; Daum, Ralf

doi:10.1136/jramc-133-03-10

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…The present case SIT was diagnosed preoperatively on a Chest and Abdominal X-rays [8][9][10]. Some difficulties mentioned during the surgery.…”

Section: Discussionmentioning

confidence: 99%

Gunshot Abdomen in a Patient with Situs Inversus Totalis

Gvilia¹,

M²

2020

Trauma Cases Rev

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A 33-year-old male was transferred from provincial hospital after being shot by gun to the abdomen [4]. On the arrival condition was stable. BP 110/77 mmHg and a pulse of 60/minute; GCS 15/15; Sats 99%. Initial examination of an abdomen showed gunshot wound on left upper quadrant of anterior axillary line, without outlet. Tenderness mostly upper part, non-distended, no peritoneal signs. Done X-rays of chest and abdomen. Findings: Dextrocardia and gastric air bubble on right upper qua-

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“…The present case SIT was diagnosed preoperatively on a Chest and Abdominal X-rays [8][9][10]. Some difficulties mentioned during the surgery.…”

Section: Discussionmentioning

confidence: 99%

Gunshot Abdomen in a Patient with Situs Inversus Totalis

Gvilia¹,

M²

2020

Trauma Cases Rev

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“…Ultrasound easily displays the location of the liver in the left upper quadrant and that the spleen is in the right upper quadrant [15]. Trauma in patients with situs inversus has only rarely been reported [16][17][18][19][20][21][22][23]. To our knowledge there are no case reports of the FAST examination with situs inversus.…”

Section: Discussionmentioning

confidence: 99%

Focused Assessment with Sonography in Trauma (FAST) Examination in a Patient with Situs Inversus and Splenic Contusion

Muñiz¹

2019

Trauma Cases Rev

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Background: Situs inversus totalis is a rare anatomic anomaly in which the normal arrangement of the heart and viscera is reversed to form a mirror picture of their usual anatomic position. It typically poses a diagnostic dilemma during the initial assessment acute thoracoabdominal trauma. Case report: A case is presented of the findings found on the focused assessment with sonography in trauma (FAST) examination of a young adult with situs inversus who sustained solid organ injury from blunt trauma. Conclusion: Patients with situs inversus can be a challenge to physicians both diagnostically and therapeutically as these patients may have nontraditional signs and symptoms upon presentation. Expedient diagnosis of solid organ injury in these patients is important, since treatment may be affected according to which organ is injured.

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“…Even in the best of circumstances, with the most skilled of surgeons, the mortality still ranges from 30% to 100% [1,2,5,7,8,[10][11][12][13][14][15][16][17][18][19][20][21][22]. As is ffequently the case, associated injuries play a Reprint requests: Robert C. Lim, Jr., M.D., Department of Surgery, Ward 3A, San Francisco General Hospital, San Francisco, California 94110, U.S.A. large role in the ultimate determinants of mortality (Table 1).…”

mentioning

confidence: 99%

Hepatic vein and retrohepatic vena caval injury

Ciresi

Lim

1990

World j. surg.

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Retrohepatic venous injury presents as a rare but frequently lethal complication of trauma. The anatomic arrangement makes management of these injuries difficult at best. Operative exposure and isolation techniques ranging from cross-clamping the aorta, portal triad, suprarenal vena cava, and suprahepatic vena cava to the use of internal shunts are described in this report. Our experience from 1968 to 1987 with internal shunting techniques includes 27 patients. We have successfully resuscitated 12 patients for an acute mortality of 55%. We believe that this figure is high but compares favorably with published results. Late deaths from sepsis, disseminated intravascular coagulation, or multiple systems organ failure remain as significant causes of overall mortality. Many techniques have been successfully employed over the years in achieving vascular isolation of the liver. The methods all have their own merits, but the key factor in each is the recognition that they need to be employed. Conservative selection of patients is undoubtedly justified, but aggressive approaches should not be delayed until they are the methods of last resort.

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Transection of the Retrohepatic Vena Cava in a Case of Total Situs Inversus Following Blunt Trauma

Cited by 4 publications

References 3 publications

Gunshot Abdomen in a Patient with Situs Inversus Totalis

Gunshot Abdomen in a Patient with Situs Inversus Totalis

Focused Assessment with Sonography in Trauma (FAST) Examination in a Patient with Situs Inversus and Splenic Contusion

Hepatic vein and retrohepatic vena caval injury

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