Mesenteric thrombosis in patient victim of blunt abdominal trauma with fatal outcome

BACKGROUND: Mesenteric thrombosis related to trauma is an uncommon entity and has poor prognosis when have low flow and hemorrhagic shock. It usually presents with a challenging diagnosis and high mortality rates, despite appropriate treatment. CASE REPORT: Patient with blunt trauma was admitted and initial treatment, complementary exams showed ribs and humerus fractures. Computerized tomography showed aerial distension in small bowels along with gastric stasis and hidropneumothorax. The patient had hypotension during clinical observation and cardiopulmonary arrest, responding to reanimation. Taken to surgery for damage control, it was found extensive necrosis of right colon, which was excised and performed primary anastomosis. He was admitted in the intensive care unit, evolving with oliguria, miosis, convulsion, and pulseless electric activity, dying three days after hospital admission. CONCLUSION: Although uncommon, mesenteric ischemia with venous thrombosis might be secondary to systemic hypotension, frequently followed by fatal outcomes.

Bibliographic Details

Main Authors:	Collaço,Iwan Augusto, Diorio,Allan Cezar, Nasr,Adonis, Silva,Fernanda Cristina da, Cecílio,William Augusto Casteleins, Toledo-Filho,Rodolfo Cardoso de
Format:	Digital revista
Language:	English
Published:	Colégio Brasileiro de Cirurgia Digestiva 2010
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000100014
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