An unusual case of noncavitary hemorrhage revealed by intravenous contrast-enhanced computed tomography.
Peripheral arterial injuries after blunt trauma commonly follow injuries to adjacent soft tissue, organ, and bone. We present here a case of blunt injury to the lumbar artery and the deep iliac circumflex artery in which there was no adjacent bone fracture, but in which hemorrhagic shock and persistent anemia ensued. Intravenous contrast-enhanced computed tomography revealed the site of active bleeding, leading us to perform an angiographic embolization for hemostasis.
Nishiuchi
Tatsuya
T
Senshu Critical Care Medical Center, Izumisano City, Osaka, Japan.
Horikawa
Hiroshi
H
Hinami
Junsuke
J
Yokota
Junichiro
J
D000063:Accidents, Traffic; D015901:Angiography, Digital Subtraction; D004621:Embolization, Therapeutic; D005119:Extravasation of Diagnostic and Therapeutic Materials; D017809:Fatal Outcome; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D006801:Humans; D007083:Iliac Artery / Q000293:injuries*; D007089:Image Enhancement; D008875:Middle Aged; D012771:Shock, Hemorrhagic / Q000209:etiology*; D017695:Soft Tissue Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating