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Digestive Disease Interventions
DOI: 10.1055/s-0045-1807270
Invited Article

Traumatic Abdominal Venous Injury: Diagnosis and Management

Matthew Abad-Santos
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
,
James C. Jeffries
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
,
Charles Hua
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
,
Guy E. Johnson 
1   Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
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Abstract

The management of traumatic injury of the large veins within the abdomen has continued to evolve with the development of endovascular techniques and the innovation of technology. Operative management of these patients is often difficult due to the anatomic location of these injuries and other associated injuries. Venous injuries can range from acute hemorrhage to complete thrombosis of the vessel, posing high rates of morbidity and mortality. A comprehensive approach to trauma patients, including initial assessment and imaging, is important in detecting injuries to the inferior vena cava or portomesenteric veins and their tributaries. Patient presentation and prognosis are important factors that drive treatment options. This article will review traumatic injuries of the major veins within the abdomen and potential options for endovascular management.

Keywords

venous - trauma - abdomen - portal - mesenteric


Publication History

Received: 05 March 2025

Accepted: 13 March 2025

Article published online:
10 April 2025

© 2025. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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