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Journal of Case Reports
Combined Aortic and Liver Injury: Treatment Dilemma
Krunal Desai, Sandeep Jain, Anupama Shome, Kritya Dubey
Department of Emergency Medicine and Trauma, Max Superspeciality Hospital, Saket, New Delhi, India.
Corresponding Author:
Dr. Krunal V Desai
Email: krunaldesai3991@gmail.com
Received: 19-SEP-2019 Accepted: 02-NOV-2019 Published Online: 30-NOV-2019
DOI: http://dx.doi.org/10.17659/01.2019.0065
Background: Blunt aortic arch injury is known but a rare presentation to Emergency Department following trauma. When associated with other visceral injuries, it has a high mortality rate. Case Report: We had female patient with aortic arch injury and liver injury following road traffic accident. In view of hemodynamic stability, patient was managed conservatively for first 48 hours followed by aortic cover stent. Patient was put on anti-coagulant after 3 days of intervention in view of liver injury to prevent stent thrombosis. Patient was discharged in stable condition without complication after 10 days hospital stay. Conclusion: Usually in stable patients, blunt aortic injuries are treated after stabilization of solid organ injuries which usually takes 7-10 days.Timing of treatment for blunt aortic injuries in such cases have not been clearly defined in literature. Our patient received an early stent graft 48 hours after injury. We are presenting case regarding this treatment dilemma.
Keywords : Aorta, Liver, Nonpenetrating Wounds, Stents, Thrombosis, Traffic Accidents.
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