Journal of Trauma and Injury

Case Reports

Successful treatment of fungal central thrombophlebitis by surgical thrombectomy in Korea: a case report: Eun Ji Lee, Jihoon T. Kim; J Trauma Inj. 2023;36(3):276-280. Published online January 31, 2023; DOI: https://doi.org/10.20408/jti.2022.0063

Abstract PDF: Fungal thrombophlebitis of the central vein is a rare, life-threatening disease associated with significant morbidity and mortality. It requires immediate central venous catheter removal and intravenous antifungal therapy, combined in some cases with either anticoagulation or aggressive surgical debridement. A 70-year-old male patient injured by a falling object weighing 1,000 kg was transferred to our hospital. A contained rupture of the abdominal aorta with retroperitoneal hematoma was treated with primary aortic repair, and a small bowel perforation with mesenteric laceration was treated with resection and anastomosis. After a computed tomography scan, the patient was diagnosed with thrombophlebitis of the left internal jugular vein and brachiocephalic vein. Despite antifungal treatment, fever and candidemia persisted. Therefore, emergency debridement and thrombectomy were performed. After the operation, the patient was treated with an oral antifungal agent and direct oral anticoagulants. During a 1-year follow-up, no signs of candidemia relapse were observed. There is no optimal timing guideline yet for relapsed fungal central thrombophlebitis. Surgical treatment should be considered for early recovery.; Summary

Endovascular treatment of traumatic iliac venous injury combined with phlegmasia cerulea dolens in Korea: a case report: Suyoung Park, Jeong Ho Kim, Jung Han Hwang, Jayun Cho; J Trauma Inj. 2023;36(2):157-160. Published online December 1, 2022; DOI: https://doi.org/10.20408/jti.2022.0039

Abstract PDF: Traumatic iliac venous injury is rare but can be fatal. Although surgical management is considered a primary treatment method, urgent treatment is required when deep venous thrombosis and subsequent phlegmasia cerulea dolens is combined. It is difficult to treat by surgical management, and pharmaceutic thrombolysis cannot be applied due to the trauma history. Here, we describe a case of unilateral traumatic iliac venous injury and subsequent diffuse venous thrombosis in the affected iliofemoral and infrapopliteal veins, combined with phlegmasia cerulea dolens, treated with endovascular management, including bare metal stent insertion and aspiration thrombectomy.; Summary

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