Laceration of Post-Hepatic Inferior Vena Cava and Right Renal Artery Caused by Blunt Thoracoabdominal Injury

摘要

A man was admitted to hospital due to a blunt injury on the right side of thoracic back. The computed tomography scanning showed absence of free air or fluid in the abdominal cavity, bleeding in the right hepatic lobe (segments 7 and 8), filling defect in the junction between the right hepatic vein and inferior vena and in the posthepatic inferior vena, nonvisualization and medium dose of pleural effusion in right chest; there was complete occlusion and thrombogenesis in the right renal artery, nonvisualization in the right kidney. Repair of the right liver and posthepatic inferior vena, partial excision of middle lobe of right lung, excision of right kidney, and internal fixation of rib were performed. The patient underwent an uneventful recovery without occurrence of complications.