J Mal Vascul
-
Inferior vena cava filter placement could be helpful for venous thromboembolism prophylaxis. However its use in Europa is not common. ⋯ Indeed filter placement could cause vena cava thrombosis. So as soon as filter has been placed, removal should be programmed.
-
Review Case Reports
[Management of seat-belt aorta in severe polytrauma: a review].
Blunt trauma of the abdominal aorta is rare. Secondary to high-energy trauma, it is observed mainly in association with complex lesions. Evaluation of injury to the aorta must be a priority due to the risk of life-threatening massive hemorrhage. ⋯ Endovascular treatment is currently not recommended. This treatment can be delayed for a few days if necessary. Morbidity is low and long-term results are good.
-
Septic pylephlebitis or purulent thrombosis of the portal venous system generally results from a progressive extension of suppurated thrombophlebitis, secondary to an intrabdominal infection. Germs most often found are Escherichia coli and Streptococcus, isolation of Enterobacter cloacae is unusual. ⋯ The antibiotic sensitivity pattern of the isolated germ and the negative epidemiologic investigation pled in favour of community acquired infection. The infection resolved with antibiotics and anticoagulation, followed by total repermeation of the portal system.
-
Practice Guideline Comparative Study
[Pregnancy and venous thromboembolism. North-American and European guidelines. American College of Chest Physicians].
Guidelines concerning the prevention and treatment of pregnancy-associated venous thromboembolism (VTE) have been elaborated by the American College of Chest Physicians and published in Chest in 2008. In this review, they have been compared with European guidelines and discussed taking into account the papers published since 2008. ⋯ Risk factors (age >or= 35, obesity, history of VTE with or without sequellae, in vitro fertilization)or thrombophilia have to be taken into account. Scores have been proposed to improve standardisation and evaluation of the risk of VTE and they should be validated.
-
Case Reports
[A rare cause of epigastric pain: isolated spontaneous dissection of the celiac artery, a case report].
Spontaneous dissection of visceral arteries, and more particularly of the celiac artery, is a rare event. We report an exceptional case of an isolated spontaneous dissection of the celiac artery which occurred in a 53-year-old man seen in an emergency setting for suspected acute pancreatitis. Computed tomography enabled the diagnosis, revealing spontaneous isolated dissection of the celiac artery, associated with a small aneurysmal dilatation of the artery. Based on a review of the literature and this clinical experience, we recall the contribution of computed tomography and 3D reconstructions to the diagnosis, the therapeutic strategy and the follow-up of spontaneous dissection of visceral arteries.