Abstract:
:An 85-year-old female suffered pelvic fracture, multiple rib fractures, right hemopneumothorax, and blunt abdominal aortic injury in a traffic accident. After transfer to our hospital, transcatheter arterial embolization (TAE) was performed immediately for hemorrhage from the bilateral internal iliac arteries. Enhanced computed tomography (CT) after TAE showed an increase of hematoma and extravasation at the bifurcation of the abdominal aorta. Therefore, emergency abdominal endovascular aortic repair was performed on the same day. On the 3rd day after transfer, metabolic acidosis worsened suddenly, and enhanced CT revealed intestinal necrosis. Emergency surgery for the intestinal necrosis was performed. The patient was transferred to the previous hospital on the 31st day after transfer. Endovascular treatment is useful for elderly patients with severe trauma. However, the preservation and/or reconstruction of the blood flow to important organs should be monitored.
journal_name
Open Med (Wars)journal_title
Open medicine (Warsaw, Poland)authors
Murata M,Aoki M,Hagiwara S,Sekihara M,Kohri T,Shibuya K,Koike N,Miyazaki D,Oshima Kdoi
10.1515/med-2018-0031subject
Has Abstractpub_date
2018-05-24 00:00:00pages
203-207issn
2391-5463pii
med-2018-0031journal_volume
13pub_type
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