Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of Traumatic Injury of the Portal Vein Treated by Portal Vein Ligation
Hiroyuki NegishiEiji MinatoHisashi ShimadaRyuichi KishiJin ShimadaAkiyoshi NodaRyuichi OshimaMasafumi KatayamaShinjiro KobayashiJo SakuraiSatoshi KoizumiTakehito Otsubo
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2015 Volume 35 Issue 3 Pages 299-302

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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.
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© 2014, Japanese Society for Abdominal Emargency Medicine
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