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J Trauma Inj. 2016 Jun;29(2):47-50. English. Case Report. https://doi.org/10.20408/jti.2016.29.2.47
Park CI , Lee SB , Yeo KH , Lee S , Park SJ , Kim HH , Kim JH , Kim CW , Park CY .
Deptartment of Trauma Surgery, Pusan National University Hospital, Busan, Korea. wkafyddl@hanmail.net
Department of Intervention Radiology, Pusan National University Hospital, Busan, Korea.
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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