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A Case of Traumatic Mesenteric Bleeding Controlled by only Transcatheter Arterial Embolization

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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.

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Authors and Affiliations

  1. Department of Radiology, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan

    Yoshiki Asayama, Shunichi Matsumoto, Takuro Isoda & Naonobu Kunitake

  2. Department of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka, 810-0001, Japan

    Hideaki Nakashima

  3. Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan

    Yoshiki Asayama

Authors
  1. Yoshiki Asayama
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  2. Shunichi Matsumoto
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  3. Takuro Isoda
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  4. Naonobu Kunitake
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  5. Hideaki Nakashima
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Correspondence to Yoshiki Asayama.

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Asayama, Y., Matsumoto, S., Isoda, T. et al. A Case of Traumatic Mesenteric Bleeding Controlled by only Transcatheter Arterial Embolization. Cardiovasc Intervent Radiol 28, 256–258 (2005). https://doi.org/10.1007/s00270-003-9108-y

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  • DOI: https://doi.org/10.1007/s00270-003-9108-y

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