Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지
DOI QR코드

DOI QR Code

Successful TAE after DCS for Active Arterial Bleeding from Blunt Hepatic Injury in a Child: A Case Report

  • Park, Chan Ik (Deptartment of Trauma Surgery, Pusan National University Hospital) ;
  • Lee, Sang Bong (Deptartment of Trauma Surgery, Pusan National University Hospital) ;
  • Yeo, Kwang Hee (Deptartment of Trauma Surgery, Pusan National University Hospital) ;
  • Lee, Seungchan (Department of Intervention Radiology, Pusan National University Hospital) ;
  • Park, Sung Jin (Deptartment of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Ho Hyun (Deptartment of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Jae Hun (Deptartment of Trauma Surgery, Pusan National University Hospital) ;
  • Kim, Chang Won (Department of Intervention Radiology, Pusan National University Hospital) ;
  • Park, Chan Yong (Deptartment of Trauma Surgery, Pusan National University Hospital)
  • Received : 2015.12.14
  • Accepted : 2016.06.24
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

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, $36.7^{\circ}C$; 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.

Keywords

References

  1. Korea National Statistical Office. Stastics on causes of death. 2014.
  2. David Richardson J, Franklin GA, Lukan JK, Carrillo EH, Spain DA, Miller FB, et al. Evolution in the management of hepatic trauma: a 25-year perspective. Ann Surg 2000; 232: 324-30. https://doi.org/10.1097/00000658-200009000-00004
  3. Kiankhooy A, Sartorelli KH, Vane DW, Bhave AD. Angiographic embolization is safe and effective therapy for blunt abdominal solid organ injury in children. J Trauma 2010; 68: 526-31. https://doi.org/10.1097/TA.0b013e3181d3e5b7
  4. Parks RW, Chrysos E, Diamond T. Management of liver trauma. Br J Surg 1999; 86: 1121-35. https://doi.org/10.1046/j.1365-2168.1999.01210.x
  5. Stassen NA, Bhullar I, Cheng JD, Crandall M, Friese R, Guillamondegui O, et al. Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73: 288-93. https://doi.org/10.1097/TA.0b013e318270160d
  6. Gourgiotis S, Vougas V, Germanos S, Dimopoulos N, Bolanis I, Drakopoulos S, et al. Operative and nonoperative management of blunt hepatic trauma in adults: a single-center report. J Hepatobiliary Pancreat Surg 2007; 14: 387-91. https://doi.org/10.1007/s00534-006-1177-2
  7. Kouraklis G, Spirakos S, Glinavou A. Damage control surgery: an alternative approach for the management of critically injured patients. Surg Today 2002; 32: 195-202. https://doi.org/10.1007/s005950200020
  8. Morris JA Jr, Eddy VA, Blinman TA, Rutherford EJ, Sharp KW. The staged celiotomy for trauma. Issues in unpacking and reconstruction. Ann Surg 1993; 217: 576-84. https://doi.org/10.1097/00000658-199305010-00019
  9. Sutton E, Bochicchino GV, Bochicchio K, Rodriguez ED, Henry S, Joshi M, et al. Long term impact of damage control surgery: a preliminary prospective study. J Trauma 2006; 61: 831-4. https://doi.org/10.1097/01.ta.0000239504.35149.c5
  10. Burch JM, Ortiz VB, Richardson RJ, Martin RR,, Mattox KL, Jordan GL Jr. Abbreviated laparotomy and planned reoperation for critically injured patients. Ann Surg 1992; 215: 476-83. https://doi.org/10.1097/00000658-199205000-00010