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KMID : 0360720160290020047
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Journal of the Korean Society Traumatology
2016 Volume.29 No. 2 p.47 ~ p.50
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Successful TAE after DCS for Active Arterial Bleeding from Blunt Hepatic Injury in a Child: A Case Report
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Park Chan-Ik
Lee Sang-Bong
Yeo Kwang-Hee
Lee Seung-Chan
Park Sung-Jin
Kim Ho-Hyun
Kim Jae-Hun
Kim Chang-Won
Park Chan-Yong
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Abstract
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Transcatheter arterial embolization (TAE) for blunt hepatic injury in children is not common and is especially rare after damage control surgery (DCS). We report a successful TAE after DCS on a child for massive bleeding from the left hepatic artery due to a motor vehicle accident. The car (a sport utility vehicle) ran over the chest and abdomen of a 4-year-old boy. On arrival, initial vital signs were as follows: blood pressure, 70/40 mmHg; heart rate, 149/min; temperature, 36.7°C; respiratory rate, 38/min. After resuscitation, computed tomography was done, and a suspicious contrast leakage from a branch of the left hepatic artery and a spleen injury (grade V) were found. TAE was performed successfully after DCS for a liver injury.
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KEYWORD
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Embolization, Damage control surgery, Massive bleeding, Hepatic artery, Child
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