A case of traumatic mesenteric bleeding controlled by only transcatheter arterial embolization
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 con...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2005-04, Vol.28 (2), p.256-258 |
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| container_title | Cardiovascular and interventional radiology |
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| creator | Asayama, Yoshiki Matsumoto, Shunichi Isoda, Takuro Kunitake, Naonobu Nakashima, Hideaki |
| description | 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. |
| doi_str_mv | 10.1007/s00270-003-9108-y |
| format | Article |
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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. 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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. 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| ispartof | Cardiovascular and interventional radiology, 2005-04, Vol.28 (2), p.256-258 |
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| subjects | Abdominal Injuries - complications Accidents, Occupational Adult Aneurysm, False - therapy ARTERIES CONTRAST MEDIA Embolization, Therapeutic - instrumentation Embolization, Therapeutic - methods Follow-Up Studies Hematoma - therapy HEMATOMAS Hemorrhage - therapy Humans INJURIES Male Mesenteric Artery, Superior - injuries RADIOLOGY AND NUCLEAR MEDICINE REPAIR SURGERY SYMPTOMS Trauma Wounds, Nonpenetrating - complications |
| title | A case of traumatic mesenteric bleeding controlled by only transcatheter arterial embolization |
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