J Korean Soc Traumatol.
2016 Jun;29(2):47-50. 10.20408/jti.2016.29.2.47.
Successful TAE after DCS for Active Arterial Bleeding from Blunt Hepatic Injury in a Child: A Case Report
- Affiliations
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- 1Deptartment of Trauma Surgery, Pusan National University Hospital, Busan, Korea. wkafyddl@hanmail.net
- 2Department of Intervention Radiology, Pusan National University Hospital, Busan, Korea.
- KMID: 2350939
- DOI: http://doi.org/10.20408/jti.2016.29.2.47
Abstract
- Transcatheter arterial embolization (TAE) for blunt hepatic injury in children is not common and is especially rare after damage control surgery (DCS). We report a successful TAE after DCS on a child for massive bleeding from the left hepatic artery due to a motor vehicle accident. The car (a sport utility vehicle) ran over the chest and abdomen of a 4-year-old boy. On arrival, initial vital signs were as follows: blood pressure, 70/40 mmHg; heart rate, 149/min; temperature, 36.7℃; respiratory rate, 38/min. After resuscitation, computed tomography was done, and a suspicious contrast leakage from a branch of the left hepatic artery and a spleen injury (grade V) were found. TAE was performed successfully after DCS for a liver injury.
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