Blunt traumatic abdominal aortic dissection and concomitant traumatic abdominal wall hernia and small bowel injury: a surgical conundrum.

摘要

Acute traumatic dissection of the abdominal aorta secondary to blunt trauma is an infrequent and potentially fatal injury. These injuries can initially be overlooked as a result of the presence of concomitant thoracic, abdominal, and/or pelvic trauma. Causes of such injuries include motor vehicle collisions, crush injuries, falls, blows to the abdomen, and explosions. We report a case of an acute abdominal aortic dissection with associated traumatic abdominal wall hernia and small bowel injury. The case involved a 45-year-old woman who was a restrained passenger in a high-speed motor vehicle collision with a tree.