Case Report
BibTex RIS Cite

Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report

Year 2019, Volume: 10 Issue: 4, 115 - 117, 01.10.2019
https://doi.org/10.33706/jemcr.563782

Abstract

Introduction: Retroperitoneal hemorrhage from iliac artery injury is a potential cause of hemorrhagic shock and death if not diagnosed early and treated promptly.

Case Report: A 55-year-old man, who had non-penetrating blunt trauma, presented with hemorrhagicshock due to retroperitoneal hemorrhage from iliac artery. Although non-penetrating blunt trauma is not a common cause of iliac artery injury, this case demonstrates that deployment of a peripheral drug-eluting stent can successfully treat a common iliac artery (CIA) perforation caused by a blunt trauma. 

Conclusion: In this case report, we want to share our experience on the successful endovascular treatment of iliac artery perforation after a non-penetrating blunt trauma in patients with hemorrhagic shock. We indicate that this approach is a less invasive treatment modality than conventional surgical repair of iliac artery perforation.

Supporting Institution

no funding

Project Number

no funding

References

  • 1. Sethi GK, Scott SM, Takaro T. False aneurysm of the abdominal aorta due to blunt trauma. Ann Surg. 1975;182:33-36
  • 2. Fleming AW, Green DC. Traumatic aneurysms of the thoracic aorta. Report of 43 patients. Ann Thorac Surg .1974;18:91-101
  • 3. Hewitt RL, Grablowsky OM. Acute traumatic dissecting aneurysm of the abdominal aorta. Ann Surg .1970;171:160-162
  • 4. Akpinar E, Peynircioglu B, Turkbey B, Cil BE, Balkanci F. Endovascular management of life-threatening retroperitoneal bleeding. ANZ J Surg. 2008;78:683-7.
  • 5. Pedowitz RA, Shackford SR. Non-cavitary haemorrhage producing shock in trauma patients: incidence and severity. J Trauma. 1989;29:219-222.
  • 6. Fox N, Schwartz D, Salazar JH, Haut ER, Dahm P, Black JH, et al. Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;78:136-146.
  • 7. Nagpal P, Mullan BF, Sen I, Saboo SS, Khandelwal A. Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. 2017;40:643-654.
  • 8. Heneghan RE, Aarabi S, Quiroga E, Gunn ML, Singh N, Starnes BW. Call for a new classification system and treatment strategy in blunt aortic injury. J Vasc Surg 2016;64:171-176.
  • 9. Lagana D, Carrafiello G, Mangini M, Giorgianni A, Lu- mia D, Cuffari S, et al. Emergency percutaneous treatment of arterial iliac axis ruptures. Emerg Radiol. 2007;14:173-179.
  • 10. Hamilos MI, Kochiadakis GE, Hatzidakis AA, Vardas PE. Treatment of a large rupture of the external iliac ar- tery by implantation of a coated metal stent. Hellenic J Cardiol. 2005;46:354-355.
  • 11. Trehan V, Nigam A, Ramakrishnan S. Iatrogenic iliac artery rupture: emergency management by longer stent- graft on a shorter balloon. Cardiovasc Intervent Radiol. 2007;30:108-110.
  • 12. Duran C, Naoum JJ, Smolock CJ, Bavare CS, Patel MS, Anaya-Ayala JE, et al. A longitudinal view of improved management strategies and outcomes after iatrogenic iliac artery rupture during endovascular aneu- rysm repair. Ann Vasc Surg. 2013;27:1-7.
Year 2019, Volume: 10 Issue: 4, 115 - 117, 01.10.2019
https://doi.org/10.33706/jemcr.563782

Abstract

Project Number

no funding

References

  • 1. Sethi GK, Scott SM, Takaro T. False aneurysm of the abdominal aorta due to blunt trauma. Ann Surg. 1975;182:33-36
  • 2. Fleming AW, Green DC. Traumatic aneurysms of the thoracic aorta. Report of 43 patients. Ann Thorac Surg .1974;18:91-101
  • 3. Hewitt RL, Grablowsky OM. Acute traumatic dissecting aneurysm of the abdominal aorta. Ann Surg .1970;171:160-162
  • 4. Akpinar E, Peynircioglu B, Turkbey B, Cil BE, Balkanci F. Endovascular management of life-threatening retroperitoneal bleeding. ANZ J Surg. 2008;78:683-7.
  • 5. Pedowitz RA, Shackford SR. Non-cavitary haemorrhage producing shock in trauma patients: incidence and severity. J Trauma. 1989;29:219-222.
  • 6. Fox N, Schwartz D, Salazar JH, Haut ER, Dahm P, Black JH, et al. Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;78:136-146.
  • 7. Nagpal P, Mullan BF, Sen I, Saboo SS, Khandelwal A. Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. 2017;40:643-654.
  • 8. Heneghan RE, Aarabi S, Quiroga E, Gunn ML, Singh N, Starnes BW. Call for a new classification system and treatment strategy in blunt aortic injury. J Vasc Surg 2016;64:171-176.
  • 9. Lagana D, Carrafiello G, Mangini M, Giorgianni A, Lu- mia D, Cuffari S, et al. Emergency percutaneous treatment of arterial iliac axis ruptures. Emerg Radiol. 2007;14:173-179.
  • 10. Hamilos MI, Kochiadakis GE, Hatzidakis AA, Vardas PE. Treatment of a large rupture of the external iliac ar- tery by implantation of a coated metal stent. Hellenic J Cardiol. 2005;46:354-355.
  • 11. Trehan V, Nigam A, Ramakrishnan S. Iatrogenic iliac artery rupture: emergency management by longer stent- graft on a shorter balloon. Cardiovasc Intervent Radiol. 2007;30:108-110.
  • 12. Duran C, Naoum JJ, Smolock CJ, Bavare CS, Patel MS, Anaya-Ayala JE, et al. A longitudinal view of improved management strategies and outcomes after iatrogenic iliac artery rupture during endovascular aneu- rysm repair. Ann Vasc Surg. 2013;27:1-7.
There are 12 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Batur Gönenç Kanar 0000-0002-5156-0302

Seyma Meliha Su This is me 0000-0001-7899-6803

Ahmet Anil Sahin This is me 0000-0003-1435-6262

Rayiha Gorkem Kanar This is me 0000-0001-9670-2450

Murat Sunbul 0000-0003-0549-3097

Project Number no funding
Publication Date October 1, 2019
Submission Date May 13, 2019
Published in Issue Year 2019 Volume: 10 Issue: 4

Cite

APA Kanar, B. G., Su, S. M., Sahin, A. A., Kanar, R. G., et al. (2019). Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports, 10(4), 115-117. https://doi.org/10.33706/jemcr.563782
AMA Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M. Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports. October 2019;10(4):115-117. doi:10.33706/jemcr.563782
Chicago Kanar, Batur Gönenç, Seyma Meliha Su, Ahmet Anil Sahin, Rayiha Gorkem Kanar, and Murat Sunbul. “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”. Journal of Emergency Medicine Case Reports 10, no. 4 (October 2019): 115-17. https://doi.org/10.33706/jemcr.563782.
EndNote Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M (October 1, 2019) Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports 10 4 115–117.
IEEE B. G. Kanar, S. M. Su, A. A. Sahin, R. G. Kanar, and M. Sunbul, “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”, Journal of Emergency Medicine Case Reports, vol. 10, no. 4, pp. 115–117, 2019, doi: 10.33706/jemcr.563782.
ISNAD Kanar, Batur Gönenç et al. “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”. Journal of Emergency Medicine Case Reports 10/4 (October 2019), 115-117. https://doi.org/10.33706/jemcr.563782.
JAMA Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M. Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports. 2019;10:115–117.
MLA Kanar, Batur Gönenç et al. “Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report”. Journal of Emergency Medicine Case Reports, vol. 10, no. 4, 2019, pp. 115-7, doi:10.33706/jemcr.563782.
Vancouver Kanar BG, Su SM, Sahin AA, Kanar RG, Sunbul M. Common Iliac Artery Perforation Caused by Non-Penetrating Blunt Trauma: A Case Report. Journal of Emergency Medicine Case Reports. 2019;10(4):115-7.