Injury to the abdominal aorta after blunt trauma occurs much less freq
uently than injury to the thoracic aorta. Although presentations vary,
common themes continue to emerge with each patient. Within a 6-month
period, our trauma unit diagnosed and treated two cases of blunt abdom
inal aortic trauma, Both patients were restrained passengers in motor
vehicle crashes with resultant abdominal aortic injuries and demonstra
ted some of the most common associated injuries. Our two cases bring t
he number found In the literature to 62 and demonstrate the need for r
apid recognition and treatment of this potentially lethal injury. This
article is a comprehensive review of the management of abdominal aort
ic injury from blunt trauma.