Inferior vena cava injuries : a case series and review of the South African experience

dc.contributor.authorVan Rooyen, P.L.
dc.contributor.authorKarusseit, V.O.L. (Otto)
dc.contributor.authorMokoena, Taole
dc.contributor.emailotto.karusseit@up.ac.zaen_US
dc.date.accessioned2014-11-04T07:25:21Z
dc.date.available2014-11-04T07:25:21Z
dc.date.issued2015-01
dc.description.abstractINTRODUCTION : Penetrating injury may involve the major vessels in the abdomen. Injury to the abdominal inferior vena cava (IVC) is uncommon and is usually caused by gunshot wounds. Mortality from IVC injuries is high and has changed little over time. AIM : The aim of the study was to report a series of IVC injuries from an urban trauma unit and to compare this with reports from similar institutions. METHOD : A retrospective review of penetrating abdominal injuries at Kalafong Hospital from 1993 to 2010 was performed. All cases of injury to the IVC were retrieved and the following data recorded: patient demographics, incident history, origin of referral, description of the IVC injury, associated injuries, operative management, hospital stay and outcome. The results were compared to those from similar institutions. RESULTS : Twenty-seven patients with IVC injuries were treated. All were caused by gunshot wounds, and all had associated intra-abdominal injuries. The majority (56%) of injuries were infrarenal. The injury was managed most commonly by venorrhaphy and, when successful, all the patients survived. A third of patients with infrarenal injuries died, some after exploration of a stable peri-caval haematoma. Ten of the patients died (37%), half of them during surgery. These results are similar to those from similar institutions from earlier time periods. CONCLUSIONS : This report concurs with other studies. IVC injury carries a high mortality rate and that this has not improved over several decades. Less aggressive management of some stable patients or stable injuries is proposed by the authors for possible improvement of the mortality rate.en_US
dc.description.librarianhb2014en_US
dc.description.urihttp://www.elsevier.com/locate/injuryen_US
dc.identifier.citationVan Rooyen, PL, Karusseit, VOL & Mokoena, T 2015, 'Inferior vena cava injuries : a case series and review of the South African experience', Injury, vol. 46, no. 1, pp. 71-75.en_US
dc.identifier.issn0020-1383 (print)
dc.identifier.issn1879-0267 (online)
dc.identifier.other10.1016/j.injury.2014.06.016
dc.identifier.urihttp://hdl.handle.net/2263/42479
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.rights© 2014 Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Injury. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Injury, vol. 46, no. 1, pp. 71-75, 2015. doi : 10.1016/j.injury.2014.06.016.en_US
dc.subjectAbdominal traumaen_US
dc.subjectPenetrating injuryen_US
dc.subjectInferior vena cava (IVC)en_US
dc.titleInferior vena cava injuries : a case series and review of the South African experienceen_US
dc.typePostprint Articleen_US

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