Compressive blunt trauma of the abdomen and pelvis associated with abdominal aortic rupture


Published online: Aug 27 2006

Efstathios Katsoulis, Christophoros Tzioupis, Ian Sparks, Peter V. Giannoudis

From St James' University Hospital, Leeds, United Kingdom

Abstract

Blunt trauma to the abdominal aorta is an uncommon but life-threatening injury. Its incidence and mortality are related to road traffic accidents and have increased during the last years mainly because of the compulsory use of seat belts. A high level of suspicion and medical knowledge is necessary for its diagnosis and appropriate management. We present a rare case of abdominal compression leading to pelvic fracture and disruption of the aortic wall with a fatal result. With this case study and a literature review, we would like to stress the importance of recognition, management and follow-up of the blunt abdominal injuries associated with pelvic trauma in order to improve the outcome.