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Emergency radiology · Jul 2010
Case ReportsInferior vena cava dissection following blunt abdominal trauma.
- Sandeep S Vaidya, Puneet Bhargava, Carrie P Marder, and Manjiri K Dighe.
- Department of Interventional Radiology, University of Washington Medical Center, Box 357115, Seattle, WA, 98195, USA. svaidya@uw.edu
- Emerg Radiol. 2010 Jul 1;17(4):339-42.
AbstractDissection of the inferior vena cava (IVC) is rare, with only a few published reports in the literature. It is usually associated with blunt abdominal injury or iatrogenic injury from a catheter manipulation. Venous dissections are rare due to lack of well-developed layers in the walls (intima, media and adventitia), low pressure in the venous system, and the absence of atherosclerotic changes. However, IVC dissection is associated with a high mortality rate due to the difficulty in diagnosis, technically difficult surgical repair, and associated solid organ injuries. We report a case of IVC dissection from a low-speed motor vehicle collision and discuss its imaging features.
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