Trauma to the portal venous system

During a 16-year period, 47 wounds of the portal and/or superior mesenteric veins were encountered. Overall mortality was 57%. Survival was greatest in patients with injury to the superior mesenteric vein, wounds repairable by lateral phleborrhaphy, absence of associated major vascular trauma, and o...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 68; no. 11; p. 1369
Main Authors Bostwick, 3rd, J, Stone, H H
Format Journal Article
LanguageEnglish
Published United States 01.11.1975
Subjects
Abdominal Injuries - mortality
Abdominal Injuries - surgery
Adult
Child
Female
Humans
Male
Mesenteric Veins - injuries
Middle Aged
Portal System - injuries
Portal Vein - injuries
Portal Vein - surgery
Wounds, Gunshot - surgery
Wounds, Nonpenetrating - surgery
Wounds, Stab - surgery
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Summary:During a 16-year period, 47 wounds of the portal and/or superior mesenteric veins were encountered. Overall mortality was 57%. Survival was greatest in patients with injury to the superior mesenteric vein, wounds repairable by lateral phleborrhaphy, absence of associated major vascular trauma, and only transient or minimal hypovolemic shock. The majority of deaths were due to uncontrollable bleeding or sequelae of profound hemorrhagic shock. Limited follow-up of survivors has demonstrated a low patency rate at the site of venous repair, suggesting that mere ligation may be all that is necessary when lateral repair is impossible.
ISSN:0038-4348
DOI:10.1097/00007611-197511000-00011