Use of preoperative contrast-enhanced computed tomography in damage control strategy for blunt liver injury: A case report.

ABSTRACT: For patients with unstable abdominal trauma unresponsive to initial transfusion, the damage control strategy includes prompt hemostasis by open surgery and packing. Recently, a hybrid treatment that combines packing and transcatheter arterial embolization as a damage control strategy was reported to be effective; however, the indications and techniques are yet to be established. A 25-year-old male patient who was in shock due to severe liver injury after a traffic accident was brought to our emergency room by emergency services. After initial resuscitation, including resuscitative endovascular balloon occlusion of the aorta and blood transfusion, preoperative contrast-enhanced computed tomography indicated grade IV liver injury with active bleeding from the right hepatic artery. Damage con

SUBMITTER: Madokoro S 

PROVIDER: S-EPMC10114218 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature