Traumatic mesenteric bleeding: early diagnosis and interventional management (CROSBI ID 265660)
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Podaci o odgovornosti
Prutki, Maja ; Alduk, Ana Marija ; Smiljanić, Ranko
engleski
Traumatic mesenteric bleeding: early diagnosis and interventional management
We report a rare case of mesenteric bleeding following blunt abdominal trauma successfully treated with transcatheter arterial embolization (TAE) of the ileal artery branch. A 27-year-old man presented with mesenteric bleeding after motorcycle accident. Computed tomography (CT) demonstrated mesenteric hematoma with extravasation of contrast material, and no associated major injuries to other organs. A superior mesenteric angiogram revealed pseudoaneurysm of the ileal branch. After TAE with a single microcoil, control angiography showed cessation of bleeding. There was no need for repeat embolization or additional surgery due to mesenteric bleeding nor ischemic gastrointestinal complications during the 5 months following TAE. In isolated mesenteric injuries, TAE may be a reasonable minimally invasive alternative to emergency laparotomy.
embolization ; mesenteric bleeding ; blunt abdominal trauma
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Podaci o izdanju
131 (1-2)
2018.
45-46
objavljeno
0043-5325
1613-7671
10.1007/s00508-018-1389-x
Povezanost rada
Kliničke medicinske znanosti