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Delayed analysis of blunt carotid trauma in a seat belt syndrome with related belly wall damage A case report.
Ann Ital Chir. 2016 Nov 28;5:
Authors: Occhionorelli S, Andreotti D, Tartarini D, Cappellari L, Stano R, Morganti L, Vasquez G
Summary
The purpose of this case report is to pay attention to occult carotid lesions in thoracic- belly trauma as a result of, carotid artery damage consequent to blunt trauma is uncommon, affecting lower than 1% of sufferers as reported in literature. A 45-years-old feminine, concerned in a visitors accident, arrived to Emergency Room hemodynamically steady, with a Glasgow Coma Scale of 15, complaining belly ache, with none neurological indicators. She underwent Computed Tomography (CT) scan that confirmed an entire disruption of left belly wall muscle tissue, related to huge bowel loops herniation. No free air nor different visceral accidents had been discovered. The radiological mind analysis was adverse for neurological accidents. Contemplating the character of the trauma, an explorative laparotomy was carried out. In the course of the fifth postoperative day, the affected person offered neurological facet indicators with proper facial-brachial-crural hemiparesis and expressive aphasia. Head and neck CT scan revealed a lesion of the left widespread carotid artery with distal embolization of the inner carotid. A left-carotid-axis revascularization process and a surgical endarterectomy had been instantly carried out. Affected person was discharged after 20 days with out neurological penalties. Physicians ought to concentrate on neck vascular accidents when evaluating sufferers with a number of trauma, even in neurological asymptomatic sufferers with out seatbelt abrasions of the neck pores and skin.
KEY WORDS: Stomach Hernia, Carotid artery, Seat belt, Surgical procedure.
PMID: 27904004 [PubMed – indexed for MEDLINE]