Key result
Missed aortic injury during exploratory laparotomy for an abdominal stab wound precedes fatal delayed rupture.
Case Report (n=1)
No
Highlights the rare but fatal complication of delayed aortic rupture following perforating abdominal trauma.
Alerts clinicians to possible delayed aortic rupture after abdominal trauma; single case leaves open incidence and surveillance needs.
The immediate death rate for aortic rupture caused by pointed and sharp-edged instruments is very high; however, delayed aortic rupture following the trauma is rarely reported. A patient who had an upper abdominal stab wound was sent to our hospital, and an emergency exploratory laparotomy was performed. No traumatic aortic rupture was found at that time. However, on the fifth day after surgery, aortic rupture occurred, and a large retroperitoneal hematoma was formed. The patient eventually died. Aortic rupture was confirmed by a second emergency exploratory laparotomy and the autopsy. The information from exploratory laparotomies, post-operative observations and treatments, medical imaging reports, and reasons for delayed aortic rupture, as well as the underlying pathophysiological processes, are discussed in this case report.
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Yang et al. (2014) conducted a case report in Delayed aortic rupture following perforating trauma (n=1). Exploratory laparotomy was evaluated on Delayed aortic rupture and death. A 16-year-old male died from a delayed aortic rupture five days after an initial exploratory laparotomy for an upper abdominal stab wound failed to identify the aortic injury.
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