Künt Göğüs Travması Sonrası Acil Servisten Taburcu Edilen Ağrısız Aort Transeksiyonu

Öz

Künt toraks travması sonucu oluşan aort yaralanmaları belirgin klinik bulgu vermediği için gözden kaçabilmektedir. Bu yazıda yüksek enerjili travma sonucu Acil Servise (AS) getirilen 35 yaşındaki alkollü hastanın, yakınma ve bulgusu olmamasına rağmen çekilen bilgisayarlı toraks tomografisinde (BT) saptanan aort transeksiyonu olgusu sunulmuştur

Anahtar Kelimeler

• Aort transeksiyon, travma

Painless Aortic Transection Discharged from the Emergency Department After Blunt Thoracic Trauma

Öz

Aortic injuries which result from blunt thoracic trauma can be overlooked because of the lack of clear clinical findings. In this article,, aortic transection detection with thorax computerized tomography (CT) in a drunk, 35 year old patient with no complaints or findings who was brought to the emergency department (ED) as a result of high energy trauma is presented

Anahtar Kelimeler

• Aortic transection, trauma

Kaynakça

1. Fabian TC, Richardson JD, Croce MA, Smith JS Jr, Rodman G Jr, Kearney PA, et al. Prospective study of blunt aortic injury: Multicenter trial of the American Association for the Surgery of Trauma. J Trauma 1997; 42: 374-83. [CrossRef]
2. Neschis DG, Scalea TM, Flinn WR, Griffith BP. Blunt aortic injury. N Engl J Med 2008; 359: 1708-16. [CrossRef]
3. Williams JS, Graff JA, Uku JM, Steinig JP. Aortic injury in vehicular trau- ma. Ann Thorac Surg 1994; 57: 726-30. [CrossRef]
4. Feczko JD, Lynch L, Pless JE, Clark MA, McClain J, Hawley DA. An au- topsy case review of 124 non-penetrating (blunt) injuries of the aorta. J Trauma 1992; 33: 846-9. [CrossRef]
5. Agee CK, Metzler MH, Churchill RJ, Mitchell FL. Computed tomographic evaluation toexclude traumatic aortic disruption. J Trauma 1992; 33: 876-81. [CrossRef]
6. Raptopolous V, Sheiman RG, Phillips DA, Davidoff A, Silva WE. Traumatic aortic tear: screening with chest CT. Radiology 1992; 182: 667-73.
7. Von Oppell UO, Dunne TT, DeGroot MK Zilla P. Traumatic aortic rupture: twenty-year meta analysis of mortality and risk of paraplegia. Ann Tho- rac Surg 1994; 58: 585-93. [CrossRef]
8. Küçükarslan N, Süngün M, Yilmaz M, Ulusoy E, Us MH, Güler A, et al. Missed aortic transection following blunt trauma: a case report. Ulus Travma Acil Cerrahi Derg 2007; 13: 158-61.