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Blunt traumatic laceration of the suprahepatic inferior vena cava presenting as abdominal pain and shock in a child: a case report.

OBJECTIVE
Report of management of blunt, intrapericardial inferior vena caval injury.


DESIGN, MATERIALS AND METHODS
A seven-year-old boy, after falling from the back of a motorcycle, had a laceration of the intrapericardial, inferior vena cava with cardiac tamponade. He presented with hypotension and a distended abdomen. There was no evidence of thoracic trauma.


MEASUREMENTS AND MAIN RESULTS
Laparotomy demonstrated a tensely distended liver without intra-abdominal bleeding. Median sternotomy revealed a vena caval laceration, which was repaired.


CONCLUSIONS
Increasing abdominal distention with an enlarging liver suggests traumatic laceration to the suprahepatic vena cava. Vascular repair is best accomplished by median sternotomy.