Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report
Azygos vein injuries are rare consequences of blunt trauma. When there is high drainage output from a right-sided intercostal catheter, an azygos injury must be considered in the differential diagnosis. We report the case of a 38-year-old male patient involved in a fall from a height during a motorc...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0001.pdf |
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| _version_ | 1841527003193278464 |
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| author | Nima Yaftian Benjamin Dunne Phillip Antippa |
| author_facet | Nima Yaftian Benjamin Dunne Phillip Antippa |
| author_sort | Nima Yaftian |
| collection | DOAJ |
| description | Azygos vein injuries are rare consequences of blunt trauma. When there is high drainage output from a right-sided intercostal catheter, an azygos injury must be considered in the differential diagnosis. We report the case of a 38-year-old male patient involved in a fall from a height during a motorcycle accident. Computed tomography demonstrated a large right-sided hemothorax and left-sided pneumothorax. The patient was transferred to the operating theatre and underwent a clamshell thoracotomy. A laceration in the azygos vein at the confluence of the arch of the azygos and the right superior intercostal vein was identified. Bleeding was controlled at the trifurcation. The patient survived and was discharged home on postoperative day 15. |
| format | Article |
| id | doaj-art-16a4628593c14988bac8c68b2d714f4c |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-16a4628593c14988bac8c68b2d714f4c2025-01-16T05:39:35ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-03-01361535510.20408/jti.2022.00011204Azygos and right superior intercostal vein injury secondary to blunt trauma: a case reportNima Yaftian0Benjamin Dunne1Phillip Antippa2 Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Parkville, Australia Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Parkville, Australia Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Parkville, AustraliaAzygos vein injuries are rare consequences of blunt trauma. When there is high drainage output from a right-sided intercostal catheter, an azygos injury must be considered in the differential diagnosis. We report the case of a 38-year-old male patient involved in a fall from a height during a motorcycle accident. Computed tomography demonstrated a large right-sided hemothorax and left-sided pneumothorax. The patient was transferred to the operating theatre and underwent a clamshell thoracotomy. A laceration in the azygos vein at the confluence of the arch of the azygos and the right superior intercostal vein was identified. Bleeding was controlled at the trifurcation. The patient survived and was discharged home on postoperative day 15.http://jtraumainj.org/upload/pdf/jti-2022-0001.pdfazygos veinthoracic injuriescase reports |
| spellingShingle | Nima Yaftian Benjamin Dunne Phillip Antippa Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report Journal of Trauma and Injury azygos vein thoracic injuries case reports |
| title | Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report |
| title_full | Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report |
| title_fullStr | Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report |
| title_full_unstemmed | Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report |
| title_short | Azygos and right superior intercostal vein injury secondary to blunt trauma: a case report |
| title_sort | azygos and right superior intercostal vein injury secondary to blunt trauma a case report |
| topic | azygos vein thoracic injuries case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0001.pdf |
| work_keys_str_mv | AT nimayaftian azygosandrightsuperiorintercostalveininjurysecondarytoblunttraumaacasereport AT benjamindunne azygosandrightsuperiorintercostalveininjurysecondarytoblunttraumaacasereport AT phillipantippa azygosandrightsuperiorintercostalveininjurysecondarytoblunttraumaacasereport |