Vena Cava Injury

  • Ricardo Ferrada
  • Paula Ferrada


Mortality from vena cava injury is high both in pre-hospital and in-hospital settings. This is due to hypovolemia. Injuries to the vena cava can cause rapid exsanguination. For this reason, it is most important to maintain hemodynamic stability. Before opening the hematoma, the patient must have several intravenous lines and blood must be available, preferably inside the operating room.


Hypovolemia Laparotomy Periduodenal periportal hematoma 

Suggested Reading

  1. Hampton M, Bew D, Edu S, Nicol A, Naidoo N, Navsaria P. An urban trauma centre experience with abdominal vena cava injuries. S Afr J Surg. 2016;54(1):36–41.PubMedGoogle Scholar
  2. Mansukhani NA, Havelka GE, Helenowski IB, Rodriguez HE, Hoel AW, Eskandari MK. The enduring patency of primary inferior vena cava repair. Surgery. 2017;161(5):1414–22.CrossRefGoogle Scholar
  3. Matsumoto S, Jung K, Smith A, Coimbra R. Management of IVC injury: repair or ligation? A propensity score matching analysis using the national trauma data bank. J Am Coll Surg. 2018;226(5):752–9.e2.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ricardo Ferrada
    • 1
  • Paula Ferrada
    • 2
  1. 1.Universidad Del ValleCaliColombia
  2. 2.Department of SurgeryVirginia Commonwealth UniversityRichmondUSA

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