Concomitant blunt splenic and hepatic injuries with simultaneous contrast pooling managed with angiographic embolization.
Non-operative management is currently the standard of care for blunt abdominal trauma patients who sustain solid organ injuries and are hemodynamically stable. Contrast pooling on imaging means active bleeding and the failure rate of non-operative management is high. Here, we describe a 65 year-old woman who sustained concomitant blunt hepatic and splenic injuries with simultaneous contrast pooling in both organs. The patient survived after angiographic embolization of vascular lesions of both solid organs.
Hsu
Yu-Pao
YP
Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taipei. yupao@cgmh.org.tw
Fang
Jen-Feng
JF
Lin
Being-Chuan
BC
D000368:Aged; D000792:Angiography; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries*; D013154:Spleen / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000628:therapy*
D003287:Contrast Media