Isolated complete transection of common hepatic artery in a fall accident: a case report

Author:

Danial Aghyad Kudra1,Bedon Mario2,Kalaji Nour2,Nasra Nasri2,Khalil Hayat2

Affiliation:

1. Department of Surgery, Aleppo University Hospital, Aleppo 15310, Syria

2. Faculty of Medicine, University of Aleppo, Aleppo 15310, Syria

Abstract

Abstract Blunt abdominal trauma is the most frequent external injury to the abdomen, which is rarely due to falling. However, not often does a blunt trauma cause injury to the common hepatic artery. Isolated injury of the common hepatic artery has rarely been reported in the literature. This report describes an unusual case of a falling accident from a height of 5 meters that results in complete transection of the common hepatic artery, yet all other abdominal organs are normal. The case was initially diagnosed by a Focused Assessment with Sonography in Trauma exam and confirmed with an exploratory laparotomy. The successful management would be an end-to-end anastomosis of the dissected artery. We hope we would raise awareness of such injury in order to facilitate its diagnosis and management and improve its outcome.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference8 articles.

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2. Diagnosis and management of blunt abdominal trauma;Davis;Ann Surg,1976

3. Review of morbidity and mortality associated with falls from heights among patients presenting to a major trauma Centre;Kent;Emerg Med Australas,2006

4. Visceral artery aneurysm: risk factor analysis and therapeutic opinion;Huang;Eur J Vasc Endovasc Surg,2007

5. Traumatic proper hepatic artery occlusion: case report;Bryant;J Trauma,2001

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