Document Detail


Successful management of severe blunt hepatic trauma by angiographic embolization.
MedLine Citation:
PMID:  22072225     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We present the case of an 18-year-old female with severe liver trauma after a motorcycle accident. Due to initial hemodynamic instability, fluid resuscitation and transfusion of two units of red packed cells was required. After stabilization, a CT scan was performed, showing grade V liver injuries according to the American Association for the Surgery of Trauma grading system. Angiography revealed multiple extravasations during the early arterial phase, as well as active extravasation from the proximal left hepatic artery in the late arterial phase. The patient was successfully treated by arterial embolization using metal microcoils, after which no further need for blood transfusion ensued. This report highlights that, in carefully selected cases, arterial embolization can improve the clinical condition of patients, reduce the need for blood transfusion and lessen the possibility of an operation, even if severe liver trauma has ensued.
Authors:
Meletios A Kanakis; Theodoros Thomas; Vassilios G Martinakis; Elias Brountzos; Nicholas Varsamidakis
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-10
Journal Detail:
Title:  Updates in surgery     Volume:  -     ISSN:  2038-131X     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101539818     Medline TA:  Updates Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1st Department of Surgery, General Hospital of Athens, 154 Mesogeion Av., 11527, Athens, Greece.
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