Traumatic Mesenteric Tear with Right Adrenal Haematoma and Partial Thrombosis of Inferior Vena Cava- A Rare Association

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Date
2020-01
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Akshantala Enterprises Private Limited
Abstract
Post-traumatic isolated mesenteric tear with associated small bowel gangrene is a rare event after blunt abdominal trauma and has been reported previously in literature. [1] Post-traumatic thrombosis of inferior vena cava (IVC) is a very rare event with only isolated case reported in literature. [2] We report a rare case of mesenteric tear with segmental small bowel infarction. There was also right adrenal gland haematoma with associated thrombosis of right adrenal vein, which was extending into inferior vena cava causing its partial thrombosis. Post blunt trauma focal mesenteric tear and segmental small bowel gangrene is a rare event. Posttraumatic right adrenal haematoma is well described in literature while traumatic inferior vena cava (IVC) thrombosis is exceedingly rare. We report a rare case showing association of focal mesenteric tear with segmental small bowel gangrene and associated right adrenal haematoma with adrenal vein haematoma extending into IVC causing its partial thrombosis. To the best of our knowledge, such unusual association has not been reported previously in literature.
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Yadav Narender, Gupta Ranjana, Mittal Puneet, Pundeer Sameer, Singh Simar Abheet. Traumatic Mesenteric Tear with Right Adrenal Haematoma and Partial Thrombosis of Inferior Vena Cava- A Rare Association. Journal of Evolution of Medical and Dental Sciences. 2020 Jan; 9(4): 248-251