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
  • 1Deptartment of Trauma Surgery, Pusan National University Hospital, Busan, Korea. wkafyddl@hanmail.net
  • 2Department 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.

Keyword

Embolization; Damage control surgery; Massive bleeding; Hepatic artery; Child

MeSH Terms

Abdomen
Blood Pressure
Child*
Child, Preschool
Heart Rate
Hemorrhage*
Hepatic Artery
Humans
Liver
Male
Motor Vehicles
Respiratory Rate
Resuscitation
Spleen
Sports
Thorax
Vital Signs
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