Arma branca retida em aorta abdominal superior

• Autor(a) principal: Spencer Netto,Fernando Antonio C.
• Data de Publicação: 2004
• Outros Autores: Silva,Adércio Pereira da, Albuquerque,Maria Cláudia Sodré
• Tipo de documento: Relatório
• Idioma: por
• Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912004000500013
• topic: Traumatic aorta wound; Inlaid blade; Abdominal penetrating trauma

Abdominal aorta wounds carries a high immediate mortality. Few patients reach hospital care alive. There are no reports on Medline (1969-2002) about aortic wounds of foreign body with retention. A case with upper abdominal aortic wound with an inlaid blade is reported. The retained blade fixed the stomach to the surgical field, difficulting the vascular control, leading to an unconventional approach and allowing extensive contamination. The patient developed multiple organ dysfunction and died at fifth postoperative day. Singularities of an inlaid knife in upper abdominal aorta and changes in traditional approach are discussed. The authors assumed that the inlaid knife decreased the bleeding, allowing the patient arrival to the hospital, but worsened the approach to the aorta wound.