A case report of caval bifurcation injury associated with right common iliac artery throm bosis sustained after a blunt trauma to the abdomen is presented. Different problems are encountered in the management of this type of lesions. These are related to trans portation, resuscitation techniques, and diagnosis and, in the operating room, to an adequate exposure, control of hemorrhage, and vascular reconstruction. A repair of the caval junction has been performed successfully using a polytetrafluoroethylene patch, avoiding stenosis of the lumen, and restoring blood flow in the vena cava. No compli cations such as thromboembolism have been reported and patency has been verified at a four month follow-up.
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