Yoshida Rika, Araki Hisatoshi, Komatsubara Yuki, Ishikura Yuka, Maruyama Mitsunari, Ando Shinji, Nakamura Megumi, Yoshizako Takeshi, Kidani Akihiko, Kaji Yasushi
Department of Radiology, Shimane University, Faculty of Medicine, Izumo, Shimane, Japan.
Department of Radiology, Masuda Red Cross Hospital, Masuda, Shimane, Japan.
Radiol Case Rep. 2025 May 3;20(7):3536-3539. doi: 10.1016/j.radcr.2025.04.015. eCollection 2025 Jul.
Mesenteric injuries are rare, occurring in approximately 1% of all blunt trauma cases. Herein, we report the case of a man in his 70s who sustained an isolated mesenteric hematoma following blunt abdominal trauma from a detached tire. The hematoma was successfully managed with transcatheter arterial embolization (TAE), avoiding the need for invasive surgery and preventing bowel ischemia. This case highlights the importance of early diagnosis and prompt intervention with TAE in hemodynamically stable patients with mesenteric injuries.
肠系膜损伤较为罕见，约占所有钝性创伤病例的1%。在此，我们报告一例70多岁男性患者，其因一个脱落的轮胎导致腹部钝性创伤后出现孤立性肠系膜血肿。该血肿通过经导管动脉栓塞术（TAE）成功得到处理，避免了进行侵入性手术，并预防了肠缺血。该病例凸显了对于血流动力学稳定的肠系膜损伤患者早期诊断及及时采用TAE进行干预的重要性。
