Rana Asama, O'Toole James, Hooda Zamaan, Veltri John, Kiselak Elizabeth, Rebein Benjamin
Department of Surgery, St. Joseph's University Medical Center, Paterson, NJ 07503, United States.
J Surg Case Rep. 2023 Sep 20;2023(9):rjad522. doi: 10.1093/jscr/rjad522. eCollection 2023 Sep.
Nonoperative management for hepatic injuries requires observation and supportive care in the case of hemodynamically stable patients. If there is active bleeding on presentation, hepatic artery embolization is an option to achieve hemostasis in the acute setting. Although interventional radiology procedures are well documented in adults, there is limited literature regarding these procedures in the pediatric population. In this report, we present a case of a pediatric patient who sustained blunt abdominal trauma, resulting in a grade IV liver injury. Treatment involved fluoroscopically guided right hepatic segmental arterial gel-foam embolization.
对于肝损伤的非手术治疗，在血流动力学稳定的患者中需要进行观察和支持治疗。如果就诊时存在活动性出血，肝动脉栓塞是在急性情况下实现止血的一种选择。尽管介入放射学程序在成人中有充分的文献记载，但关于这些程序在儿科人群中的文献有限。在本报告中，我们介绍了一例小儿患者，该患者遭受钝性腹部创伤，导致IV级肝损伤。治疗包括在荧光透视引导下进行右肝段动脉明胶海绵栓塞。
