A case of traumatic mesenteric bleeding controlled by only transcatheter arterial embolization

Yoshiki Asayama, Shunichi Matsumoto, Takuro Isoda, Naonobu Kunitake, Hideaki Nakashima

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)256-258
Number of pages3
JournalCardioVascular and Interventional Radiology
Volume28
Issue number2
DOIs
Publication statusPublished - Apr 2005

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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