• D J Beless, D S Muller, and H Perez.
• Division of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.
• Ann Emerg Med. 1990 Aug 1; 19 (8): 922-4.

AbstractAbdominal aortic injuries secondary to blunt trauma are uncommon, particularly without associated visceral injury or external signs of localized trauma. Blunt trauma-induced abdominal aortic injuries most frequently result in intimal tearing. The most common mechanism is localized impact over the lower abdomen from sudden deceleration against a fixed object. We present the case of a patient with atheromatous plaque rupture in the distal abdominal aorta associated with acute aortoiliac occlusion as the result of a fall. Atherosclerotic disease may be present in young asymptomatic individuals and may be a predisposing factor for aortic intimal tearing. A high degree of suspicion and periodic reassessment of peripheral circulation in trauma patients are required to ensure early diagnosis of this injury.

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