A Case of Traumatic Mesenteric Bleeding Controlled by only Transcatheter Arterial Embolization
- Saiseikai Fukuoka General Hospital, Department of Radiology (Japan)
- Saiseikai Fukuoka General Hospital, Department of Surgery (Japan)
We report a case of mesenteric hematoma following blunt abdominal trauma that was successfully treated with transcatheter arterial embolization (TAE) and did not require surgical repair. A 43-year-old man with blunt abdominal trauma caused in a factory accident was admitted with a stable general condition and laboratory data. On CT examination, a large mesenteric hematoma with extravasation of contrast media was observed. TAE was first attempted to control the bleeding. A superior mesenteric angiogram showed extravasation of contrast medium from a branch of the ileocolic artery and obstruction of the cecal branch. After successful TAE using microcoils, the distal portion of the cecal branch was still preserved via collateral circulation. No abdominal symptoms have occurred during the 7 months following TAE. In mesenteric injury cases with limited intestinal damage, TAE may therefore be a reasonable alternative to emergent laparotomy.
- OSTI ID:
- 21088152
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 28, Issue 2; Other Information: DOI: 10.1007/s00270-003-9108-y; Copyright (c) 2005 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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