RESUMO
Reports of inferior vena cava (IVC) pseudoaneurysms are always associated with arteriovenous fistulae and arterial injuries. This seems to be the first case report of an isolated IVC pseudoaneurysm in a 40-year-old man who suffered a penetrating abdominal injury 4 weeks before being referred to our hospital. Jaundice was the finding that leads to the identification of this aneurysm and its later successful surgical treatment. This is a nonreported lesion in the published literature about IVC injuries, in which the endovascular therapy is recently included.
Assuntos
Traumatismos Abdominais/complicações , Falso Aneurisma/etiologia , Veia Cava Inferior , Ferimentos Penetrantes/complicações , Adulto , Falso Aneurisma/diagnóstico , Falso Aneurisma/cirurgia , Humanos , MasculinoRESUMO
El desarrollo acelerado de guías de práctica clínica, en la última década, ha determinado la importancia de realizar una adecuada evaluación de éstas, por parte de los sistemas de salud y de los clínicos, antes de adoptarlas. La evaluación de las guías debe realizarse de forma rigurosa en cuatro áreas particulares: calidad, implementación, aplicabilidad y registro en el Sistema Nacional de Guías.
In the last decade the accelerated development of clinical practice guidelines has determined the importance of making a suitable evaluation before adopting them by the health systems and physicians. The evaluation of the guides must be made in a rigorous form in four particular areas: quality, implementation, applicability and registry in the National Unique System of Guidelines.