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Case Reports
. 2023 Sep 20;2023(9):rjad522.
doi: 10.1093/jscr/rjad522. eCollection 2023 Sep.

Rare case of pediatric trauma with hepatic injury managed using gel-foam embolization: a case report

Asama Rana  1 , James O'Toole  1 , Zamaan Hooda  1 , John Veltri  1 , Elizabeth Kiselak  1 , Benjamin Rebein  1
Affiliations
Case Reports

Rare case of pediatric trauma with hepatic injury managed using gel-foam embolization: a case report

Asama Rana et al. J Surg Case Rep. .

Abstract

Nonoperative management for hepatic injuries requires observation and supportive care in the case of hemodynamically stable patients. If there is active bleeding on presentation, hepatic artery embolization is an option to achieve hemostasis in the acute setting. Although interventional radiology procedures are well documented in adults, there is limited literature regarding these procedures in the pediatric population. In this report, we present a case of a pediatric patient who sustained blunt abdominal trauma, resulting in a grade IV liver injury. Treatment involved fluoroscopically guided right hepatic segmental arterial gel-foam embolization.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Axial view of CT image revealing liver and splenic injuries.
Figure 2
Figure 2
Coronal view of CT image revealing liver and splenic injuries.
Figure 3
Figure 3
Bladder hematoma adjacent to pubic ramus fracture.
See this image and copyright information in PMC

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References

    1. Stylianos S. Compliance with evidence-based guidelines in children with isolated spleen or liver injury: a prospective study. J Pediatr Surg 2002;37:453–6. - PubMed
    1. Coimbra R, Hoyt DB, Engelhart S. et al. Nonoperative management reduces the overall mortality of grades 3 and 4 blunt liver injuries. Int Surg 2006;91:251–7. - PubMed
    1. Nellensteijn D, Porte RJ, van Zuuren W. et al. Paediatric blunt liver trauma in a Dutch level 1 trauma center. Eur J Pediatr Surg 2009;19:358–61. - PubMed
    1. Ahmed N, Vernick JJ Management of liver trauma in adults. J Emerg Trauma Shock 2011;4:114–19. - PMC - PubMed
    1. Miyayama S, Yamakado K, Anai H. et al. Guidelines on the use of gelatin sponge particles in embolotherapy. Jpn J Radiol 2014;32:242–50. - PubMed

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