A Case of Traumatic Injury of the Portal Vein Treated by Portal Vein Ligation

Abstract

A 64-year-old woman was transferred to our hospital with injuries sustained in a car crash. Abdominal enhanced CT revealed intra─abdominal hemorrhage and extravasation of contrast medium in the pancreatic head region. The patient was in shock. An emergency laparotomy revealed portal vein injury. We attempted to repair the injured portal vein, however, the repaired vein was narrow and weak. Therefore, we finally ligated the portal vein. The postoperative course was good and the patient was discharged from the hospital on the 36th postoperative day. While portal vein injury is rare, it is associated with a high mortality rate. To decrease the mortality, it is important to control the bleeding rapidly.