title: A case of traumatic mesenteric bleeding controlled by only transcatheter arterial embolization.
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.
authors.affiliation: Department of Radiology, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka 810-0001, Japan. asayama@elf.coara.or.jp
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Asayama
authors.forename: Shunichi
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Takuro
authors.initials: T
authors.lastname: Isoda
authors.forename: Naonobu
authors.initials: N
authors.lastname: Kunitake
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nakashima
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000062:Accidents, Occupational; D000328:Adult; D017541:Aneurysm, False / Q000628:therapy; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005500:Follow-Up Studies; D006406:Hematoma / Q000628:therapy; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*