Spontaneous rupture of inferior vena cava - 21/08/17
, Sang Il Choi, MD, PhD b, Kyuseok Kim, MD, PhD cAbstract |
Spontaneous ruptures of the inferior vena cava (IVC) are rare. The mortality rate is high associated with all IVC injuries despite prompt resuscitation or operation. We present a case of 68-year-old women with spontaneous IVC dissection, presented as acute chest pain. Chest CT demonstrated a large amount of hemopericardium, and dilated inferior vena cava (IVC), suggesting cardiac tampon. Subsequently, hypovolemic shock and cardiac arrest occurred. After resuscitation, abdomen CT angiography was taken to find bleeding focus. Second CT demonstrated massive contrast extravasation to pericardial space due to rupture of IVC. Patient expired due to multi-organ failure.
Le texte complet de cet article est disponible en PDF.Keywords : Vascular system injuries, Spontaneous rupture, Inferior vena cava, Chest pain, Cardiovascular diseases
Plan
Vol 35 - N° 9
P. 1383.e3-1383.e4 - septembre 2017 Retour au numéro
Article précédent
- Pathologic C-spine fracture with low risk mechanism and normal physical exam
- Andrew Hunter, Jolion McGreevy, Judith Linden
- Treatment-naïve spontaneous tumor lysis syndrome in metastatic prostate adenocarcinoma: An unusual suspect
- Maya Ignaszewski, Patrick Kohlitz
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?