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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad del Valle
2020
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| Accesso online: | https://www.redalyc.org/articulo.oa?id=28365569005 https://www.redalyc.org/journal/283/28365569005/ https://www.redalyc.org/journal/283/28365569005/html/ https://www.redalyc.org/journal/283/28365569005/28365569005.epub https://www.redalyc.org/journal/283/28365569005/movil |
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Sommario:
- Scapulothoracic dissociation and blunt vertebral vascular injury: case report Neil Valentin Vega Peña Manuel Riveros Dueñas Angie Carolina Riscanevo Medicina case report Brachial plexus vascular injury axillary artery multiple trauma Case Description: A 24-year-old male suffers from a motor vehicle accident with penetrating neck trauma and concomitant closed left cervicothoracic trauma.Clinical Findings: High impact trauma causing hypovolemic shock, left zone I penetrating neck trauma, ischemia due to blunt trauma to the axillary vessels, and brachial plexus injury. Transection of the vertebral artery on angiotomography. Diagnosed with scapulothoracic dissociation and vertebral artery trauma.Treatment and outcome: Axillary arteriovenous reconstruction, fasciotomies, non-surgical approach of the vertebral artery trauma, and deferred treatment of the brachial plexus trauma were performed. Survival of the patient and his limb, with major neurologic sequelaeClinical Relevance: The case presented here is an example of scapulothoracic dissociation with associated trauma to the vertebral artery, injuries that are uncommon and associated with high morbidity and mortality. Early recognition of the injuries and a multidisciplinary approach for this complex case by surgical board reviews at various levels within the course of care were key determinants in the patient’s improved prognosis. This case report presents an analysis of the diagnostics, treatment, and course; considering in-hospital care and the decision-making process as determinants for the prognosis in a polytrauma patient. 2020 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28365569005 https://www.redalyc.org/journal/283/28365569005/ https://www.redalyc.org/journal/283/28365569005/html/ https://www.redalyc.org/journal/283/28365569005/28365569005.epub https://www.redalyc.org/journal/283/28365569005/movil 10.25100/cm.v50i3.4386 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.51