Abstract
A 37-year-old female driver who had not been wearing a seatbelt was admitted to the orthopedic department with a diagnosis of compression fracture of the L-2 vertebral body after a motor vehicle crash. Angiography showed slight infrarenal aortic dilatation above the inferior mesenteric artery (IMA) and stenosis due to disruption of the intima below IMA. We diagnosed of blunt traumatic abdominal aortic injury with circumferencial disruption of the intima. The patient suffered cholangitis due to common bile duct stricture secondary to the blunt abdominal trauma. After alleviation of jaundice we performed infrarenal abdominal aortic replacement by knitted Dacron tube graft sucessfully. She was discharged on postoperative day 34 in a stable condition.
