ID | 58607 |
フルテキストURL | |
著者 |
Iida, Atsuyoshi
Critical Care Medical Center, Okayama Red Cross Hospital
researchmap
Ryuko, Tsuyoshi
Department of Surgery, Okayama Red Cross Hospital
Kemmotsu, Masaichi
Department of Surgery, Okayama Red Cross Hospital
Ishii, Hiroaki
Department of Radiology, Okayama Red Cross Hospital
Naitou, Hiromichi
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
Nakao, Atsunori
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
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抄録 | Introduction
Liver injury is the most vulnerable to blunt abdominal trauma. Diagnostic evaluation and treatment of blunt liver trauma in children have changed essentially over the last decades.
Presentation of case
A 3-year-old girl, weighing 10 kg was run over by a car and admitted to our hospital. Due to the liver injury and increased intra-abdominal hemorrhage confirmed by computed tomography, emergent transcatheter arterial embolization (TAE) was performed. Hemostasis was successfully obtained without complications. The patient had a good postoperative course and was discharged on the 9th day after admission.
Discussion
To the best of our knowledge, this case is the youngest and lowest weight emergency TAE success cases of childhood liver injury. TAE is an alternative to laparotomy and a useful procedure to accomplish nonsurgical management in adult who are hemodynamically stable and have no other associated injury requiring laparotomy. On the other hand, TAE is considered to have some complications in child cases because of the small diameter of the artery and the tendency to spasm. Our case showed that TAE can be a safe option for emergency hemostasis in pediatric trauma cases weighing 10 kg.
Conclusion
Emergency physicians must be aware that radiological intervention is an important adjunct to management of childhood liver injury.
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キーワード | Hepatic injury
Non-operative management
Transarterial embolization
Pediatric
Case report
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発行日 | 2020-12-31
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出版物タイトル |
International Journal of Surgery Case Reports
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巻 | 70巻
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出版者 | Elsevier
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開始ページ | 205
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終了ページ | 208
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ISSN | 22102612
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2020 The Author(s).
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1016/j.ijscr.2020.04.036
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ライセンス | http://creativecommons.org/licenses/by/4.0/
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