CT arteriography-guided embolization in hepatic bleeding: A case report

被引：0

作者：

Yama N. ^{[1
]}

Kitagawa S. ^{[2
]}

Saito J. ^{[2
]}

Inomata H. ^{[2
]}

Koito K. ^{[1
]}

Tamakawa M. ^{[1
]}

Akiba H. ^{[1
]}

Hareyama M. ^{[1
]}

Asai Y. ^{[2
]}

机构：

[1] Department of Radiology, Sapporo Medical University, School of Medicine, Chuo-Ku, Sapporo, 060-8543

[2] Department of Traumatology and Critical Care Medicine, Sapporo Medical University, School of Medicine, Chuo-Ku, Sapporo, 060-8543

来源：

Emergency Radiology | 2001年 / 8卷 / 1期

关键词：

CT arteriography; Liver; bleeding; Periportal bleeding; Transarterial embolization;

D O I：

10.1007/PL00011872

中图分类号：

学科分类号：

摘要：

A 33-year-old man with hepatic bleeding was transferred to our hospital. Conventional plain and enhanced spiral computed tomography (CT) with a Siemens Somatom Plus-S scanner (Siemens AG, Erlangen, Germany) revealed a large hepatic hematoma and active extrahepatic bleeding. A unified spiral CT and angiography system (IVR-CT/Angio system; Toshiba Medical Systems, Tokyo, Japan) was employed, and selective catheterization-aided CT arteriography (CTA) showed additional active extrahepatic bleeding. These findings were not detected on conventional spiral CT or angiography. The CTA findings led us to successful transarterial embolization (TAE). After TAE, CT scan revealed that the contrast material injected in the hepatic artery was diffusing into the periportal space. Twenty-four days after TAE, a central bisegmentectomy of the liver was performed. Unfortunately, the cause of the hepatic bleeding was not clear pathologically.

引用

页码：55 / 58

页数：3

共 6 条

[1] Inaba Y., Arai Y., Takeuchi Y., Takeda H., Ohta T., Sueyoshi S., Yamagami T., Yun K., Sasaki F., Ohashi K., Clinical effectiveness of newly developed interventional-CT system, J Jpn Soc Angiogr Intervent Radiol, 11, pp. 43-49, (1996)
[2] Carrillo E.H., Platz A., Miller F.B., Richardson J.D., Polk C.J.R., Non-operative management of blunt hepatic trauma, Br J Surg, 85, pp. 461-468, (1998)
[3] Hagiwara A., Yukioka T., Ohta S., Tokunaga T., Ohta S., Matsuda H., Shimazaki S., Nonsurgical management of patients with blunt hepatic injury: Efficacy of transcatheter arterial embolization, AJR Am J Roentgenol, 169, pp. 1151-1156, (1997)
[4] Cheatham J.E. Jr., Smith E.I., Tunell W.P., Elkins R.C., Non-operative managemant of subcapsular hematomas of the liver, Am J Surg, 140, pp. 852-857, (1980)
[5] Irie T., Takeshita K., Wada Y., Kusano S., Terahata S., Tamai S., Hatsuse K., Aoki H., Sugiura Y., CT evaluation of hepatic tumors: Comparison of CT with arterial portography, CT with infusion hepatic arteriography, and simultaneous use of both techniques, AJR Am J Roentgenol, 164, pp. 1407-1412, (1995)
[6] Shanmuganathan K., Stuart E.M., Michael A., Periportal low density on CT in patients with blunt trauma: Association with elevated venous pressure, AJR Am J Roentgenol, 160, pp. 279-283, (1993)

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