Evidence map›Paper›PMID 40709296›Full record

ArticleJournal of clinical imaging science2025

Blunt traumatic inferior vena cava injury associated with seatbelt syndrome: The critical role of diagnosis and non-operative management.

Emika Murasawa, Komei Kameyama, Hajime Nakae, Naoko Mori

Abstract readCase Reports
In one paragraph

Article in Journal of clinical imaging science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emika MurasawaDepartment of Radiology, Akita University Graduate School of Medicine, Akita, Japan.
Komei KameyamaDepartment of Emergency and Critical Care Medicine, Akita University Graduate School of Medicine, Akita, Japan.
Hajime NakaeDepartment of Emergency and Critical Care Medicine, Akita University Graduate School of Medicine, Akita, Japan.
Naoko MoriDepartment of Radiology, Akita University Graduate School of Medicine, Akita, Japan.ORCID https://orcid.org/0000-0002-8700-9731

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blunt traumatic inferior vena cava (IVC) injury is rare and presents diagnostic and therapeutic challenges. We report a case of blunt traumatic IVC injury associated with bowel perforation and spinal cord injury, successfully managed with non-operative conservative treatment. A 57-year-old woman sustained injuries in a motor vehicle collision with a seatbelt fastened. Computed tomography (CT) revealed an irregular IVC contour at the infrarenal level and a retroperitoneal hematoma, leading to the diagnosis of blunt traumatic IVC injury. Free intraperitoneal air suggested bowel perforation, and magnetic resonance imaging confirmed a C5/6 spinal cord injury. This combination of injuries may raise suspicion for a seatbelt injury pattern. The bowel perforation was surgically treated, and posterior fixation was performed for the spinal injury. Since the patient remained hemodynamically stable, conservative management was selected for the IVC injury. Follow-up CT revealed a reduction in the retroperitoneal hematoma and improvement in the IVC contour, indicating successful conservative treatment. Blunt traumatic IVC injury is rare, and some cases do not exhibit contrast media extravasation. In this case, the diagnosis was based on IVC contour abnormalities and retroperitoneal hematoma. Considering the patient's stable hemodynamics, conservative treatment was selected. Careful interpretation of CT findings is essential for diagnosing IVC injury, and appropriate clinical judgment is key to achieving successful non-operative management in selected cases.

Indexed as

Blunt traumatic inferior vena cava injuryDiagnosisNon-operative management

Identifiers

PMID40709296
PMCPMC12289102

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.