{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T08:48:48Z","timestamp":1706518128381},"reference-count":12,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>We report a case of successful conservative management of acute traumatic rupture of the azygous vein. A 48-year-old male was involved in a motor vehicle collision. Primary survey revealed acute right intrathoracic haemorrhage. He remained haemodynamically stable with rapid infusion of warmed crystalloid solution and blood. Computed tomographic imaging showed a contained haematoma of the azygous vein. The patient was managed conservatively in the intensive care. Azygous vein laceration resulting from blunt thoracic trauma is a rare condition that carries a universally poor prognosis unless the appropriate treatment is instituted. Clinical features include acute hypovolaemic shock, widened mediastinum on chest radiograph, and a right-sided haemothorax. Haemodynamic collapse necessitates immediate resuscitative thoracotomy. Interest in this injury stems from the severity of the clinical condition, difficulty in diagnosis, the onset of a rapidly deteriorating clinical course all of which can be promptly reversed by timely and appropriate treatment. Although it is a rare cause of intramediastinal haemorrhage, it is proposed that a ruptured azygous vein should be considered in every trauma case causing a right-sided haemothorax or widened mediastinum. All cases described in the literature to date involved operative management. We present a case of successful conservative management of this condition.<\/jats:p>","DOI":"10.1155\/2012\/147614","type":"journal-article","created":{"date-parts":[[2012,12,30]],"date-time":"2012-12-30T21:02:42Z","timestamp":1356901362000},"page":"1-3","source":"Crossref","is-referenced-by-count":4,"title":["Conservative Management of Azygous Vein Rupture in Blunt Thoracic Trauma"],"prefix":"10.1155","volume":"2012","author":[{"given":"Cian","family":"McDermott","sequence":"first","affiliation":[{"name":"Emergency Department, St James\u2019s Hospital, Dublin 8, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Emergency Department, St James\u2019s Hospital, Dublin 8, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eilish","family":"McGovern","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, St James\u2019s Hospital, Dublin 8, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geraldine","family":"McMahon","sequence":"additional","affiliation":[{"name":"Emergency Department, St James\u2019s Hospital, Dublin 8, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"2","year":"2008"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199510000-00029"},{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(92)90008-H"},{"issue":"1","key":"5","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/00005373-199901000-00034","volume":"46","year":"1999","journal-title":"The Journal of trauma"},{"issue":"4","key":"6","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1097\/00005373-200010000-00034","volume":"49","year":"2000","journal-title":"Journal of Trauma"},{"issue":"4","key":"4","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/0003-4975(92)90339-6","volume":"53","year":"1992","journal-title":"Annals of Thoracic Surgery"},{"issue":"6","key":"8","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1097\/00005373-198906000-00033","volume":"29","year":"1989","journal-title":"Journal of Trauma"},{"issue":"17","key":"7","first-page":"1255","volume":"35","year":"1980","journal-title":"Minerva Chirurgica"},{"issue":"4","key":"9","first-page":"414","volume":"21","year":"2004","journal-title":"Emergency Medicine Journal"},{"issue":"2","key":"10","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1097\/01.ta.0000202552.26628.84","volume":"60","year":"2006","journal-title":"The Journal of Trauma"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000229959.54552.be"},{"issue":"2","key":"12","doi-asserted-by":"crossref","first-page":"347","DOI":"10.5507\/bp.2007.059","volume":"151","year":"2007","journal-title":"Biomedical Papers"}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2012\/147614.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2012\/147614.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2012\/147614.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T05:00:40Z","timestamp":1498021240000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cricc\/2012\/147614\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":12,"alternative-id":["147614","147614"],"URL":"https:\/\/doi.org\/10.1155\/2012\/147614","relation":{},"ISSN":["2090-6420","2090-6439"],"issn-type":[{"value":"2090-6420","type":"print"},{"value":"2090-6439","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}