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Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449versão On-line ISSN 1677-7301

Resumo

SOUZA, Fábio Mesquita de; CHAGAS, Wagner Rodrigues; VELLOSO, Luis Roberto  e  RIBAS, Jonas Marques. Blunt injury to the left common iliac artery caused by seat belt. J. vasc. bras. [online]. 2005, vol.4, n.3, pp.307-310. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492005000300015.

The authors report a case of a 17-year-old female patient involved in a head-on motor vehicle collision. The patient presented to the emergency department complaining of severe abdominal pain. She also had a transverse bruise in the inferior anterior abdominal wall, suggesting a seat-belt sign. The patient underwent an exploratory laparotomy, which showed a small distal jejunal perforation. Other lesions were not found at inspection. At the end of the operation, moderate cyanosis of the plantar aspect of the left foot was observed, and popliteal and distal pulses were absent. The intensity of the femoral pulse was decreased. An arteriography revealed obstruction of the left common iliac artery. Repair was successfully achieved with a 6-mm Dacron graft interposition.

Palavras-chave : trauma; endoluminal repair; surgery.

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