title: Traumatic hepatic artery laceration managed by transarterial embolization in a pediatric patient.
abstract: While blunt abdominal trauma with associated liver injury is a common finding in pediatric trauma patients, hepatic artery transection with subsequent treatment by transarterial embolization has rarely been reported. We present a case of a child who suffered from a hepatic artery injury which was successfully managed by supraselective transarterial microcoil embolization, discuss management strategies in these patients, and provide a review of currently available literature.
authors.affiliation: Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
authors.forename: Sara C
authors.initials: SC
authors.lastname: Fallon
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Coker
authors.forename: J Alberto
authors.initials: JA
authors.lastname: Hernandez
authors.forename: Sheena A
authors.initials: SA
authors.lastname: Pimpalwar
authors.forename: Paul K
authors.initials: PK
authors.lastname: Minifee
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Fishman
authors.forename: Jed G
authors.initials: JG
authors.lastname: Nuchtern
authors.forename: Bindi J
authors.initials: BJ
authors.lastname: Naik-Mathuria
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000000981:diagnostic imaging; D001642:Bicycling / Q000293:injuries; D001652:Bile Ducts / Q000293:injuries / Q000601:surgery; D001803:Blood Transfusion; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003131:Combined Modality Therapy; D018752:Diet, Fat-Restricted; D004322:Drainage; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005440:Fluid Therapy; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006465:Hemoperitoneum / Q000209:etiology / Q000628:therapy; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000628:therapy; D022125:Lacerations / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D008099:Liver / Q000293:injuries; D008297:Male; D010996:Pleural Effusion / Q000209:etiology / Q000601:surgery; D015641:Radiography, Interventional; D016717:Sphincterotomy, Endoscopic; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging; D019896:alpha 1-Antitrypsin Deficiency / Q000150:complications