Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2007, 151(2):347-348 | DOI: 10.5507/bp.2007.059

AZYGOS VEIN INJURY IN BLUNT CHEST TRAUMA

Pavel Draca, Pavel Manaka, Jiri Kleinb, Vladimir Kralb
a Department of Traumatology, Teaching Hospital, Olomouc
b Ist Clinic of Surgery, Teaching Hospital, Olomouc

Injuries to the azygos vein in a blunt chest trauma are uncommon and have previously been described in only 21 cases. The diagnosis is crucially based on massive right haemothorax with signs of shock, hypotension and altered mental status. The severity of the trauma, speed of transport and surgical intervention are often decisive for the survival of the patient. This is confirmed by the three cases we report below.

Keywords: Azygos vein rupture, Blunt chest trauma, Massive haemothorax, Right thoracotomy

Received: August 28, 2007; Accepted: September 16, 2007; Published: December 1, 2007  Show citation

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Drac, P., Manak, P., Klein, J., & Kral, V. (2007). AZYGOS VEIN INJURY IN BLUNT CHEST TRAUMA. Biomedical papers, 151(2), 347-348. doi: 10.5507/bp.2007.059
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    References

    1. Nguyen LL, Gates JD. Simultaneous azygos vein and aortic injury from blunt trauma: case report and review of the literature. J Trauma 2006; 61:444446. Go to original source...
    2. Bowles BJ, Teruya T, Belzberg H, Rivkind AI. Blunt traumatic azygous vein injury diagnosed by computed tomography: case report and review of the literature. J Trauma 2000; 49:776779. Go to original source... Go to PubMed...
    3. Sharma OP, Rawitscher RE. Blunt vena azygos trauma: report of a case and review of world literature. J Trauma 1999; 46:192195. Go to original source...
    4. Shkrum MJ, Green RN, Shum DT. Azygos vein laceration due to blunt trauma. J Forensic Sciences 1991; 36:410421. Go to original source... Go to PubMed...
    5. Snyder CL, Eyer SD. Blunt chest trauma with transection of the azygos vein: case report. J Trauma 1989; 29:889890. Go to original source... Go to PubMed...
    6. Spagliardi E, Palombo D. (1978) Considerazioni su un caso di rottura isolata della vena azygos. Minerva Cardioangiologica 1978; 26:637639.
    7. Walsh A, Snyder HS. Azygos vein laceration following a vertical deceleration injury. J Emerg Med 1992; 10:3537. Go to original source... Go to PubMed...
    8. Baldwin JC, Oyer PE, Guthaner DF, Stinson EB. Combined azygous vein and subclavian artery injury in blunt chest trauma. J Trauma 1984; 24:170171. Go to original source... Go to PubMed...
    9. Sugimoto K, Asari Y, Hirata M, Imai H, Ohwada T. The diagnostic problem associated with blunt traumatic azygous vein injury: delayed appearance of right haemothorax after blunt chest trauma. Injury 1998; 29:380382. Go to original source... Go to PubMed...
    10. Butler DA, Schneider RF, Jadali M. Traumatic injury to the azygos vein: case report. J Trauma 1995; 39:761762. Go to original source... Go to PubMed...
    11. Coates GR, Hall DP. Rupture of the azygos vein: an unusual cause of hemothorax due to blunt trauma. J Tenn Med Assoc 1987; 80:155156.
    12. Inoue H, Iwasaki M, Shirota S, Ogawa J, Shohtsu A. Total avulsion of the azygos vein and longitudinal laceration of the mediastinal pleura due to blunt chest trauma: A case report. J Cardiovasc Surg 1993; 34:6768.
    13. Rebel A, Ellinger K, van Ackern K. Neue Airbag-assoziierte Verletzungsmuster nach Verkehrsunfällen. Anaesthesist 1996; 45:359362. Go to original source... Go to PubMed...
    14. Salizzoni M, Ardissone F, Borasio P, Dei Poli M. La rottura isolata della vena azygos da trauma toracico contusivo. Minerva Chirurgica 1980; 35:12551256.
    15. Sherani TM, Fitzpatrick GJ, Phelan DM, OBrien D, Al Tarief H, Neligan MC. Ruptured azygos vein due to blunt chest trauma. Br J Surg 1986; 73:885. Go to original source... Go to PubMed...
    16. Thurman RT, Roettger R. Intrapleural rupture of the azygos vein. Ann Thorac Surg 1992; 53:697699. Go to original source... Go to PubMed...
    17. Walz M, Kolbow B, Auerbach F, Fernandez-Laser C, Eppen R. Ruptur der V. azygos beim stumpfen Thoraxtrauma. Unfallchir 2003; 106:764767. Go to original source... Go to PubMed...
    18. Cagini L, Boaron M, Corneli G, Gambale G. Rupture of the azygos vein in blunt chest trauma. J Cardiovasc Surg 1998; 39:249250.

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