Abdominal Major Vascular Injury, Anesthesia for

Synonyms

Abdominal aorta injury; Celiac artery injury; Iliac vascular injury; Inferior vena cava injury; Mesenteric artery injury; Renovascular injury

Definition

The abdominal major vascular injuries are usually caused by penetrating abdominal traumas, gunshot wounds, or stab wounds. The blunt abdominal trauma may also cause major vascular injuries by rapid deceleration mechanism, direct anteroposterior crushing, or direct laceration. In a prospective study of vascular abdominal trauma caused by gunshot injuries in 217 patients who underwent exploratory laparotomy, the incidence of vascular trauma was 14.3 % (Demetriades et al. 1997). The incidence of vascular injuries in patients undergoing laparotomy for stab wounds was 10 % (Feliciano et al. 2000). In a review of 302 abdominal vascular injuries, the most commonly injured abdominal vessel was the inferior vena cava (accounted for 25 % of injuries), followed by aorta (21 %), the iliac arteries (20 %), the iliac veins (17 %), the...