Transcatheter Arterial Embolization for Blunt Hepatic Trauma in a Preschooler
DOI:
https://doi.org/10.26676/jevtm.v6i2.253Keywords:
Non-Operative Management, Blunt Hepatic Trauma, Pediatric Trauma, Transcatheter Arterial EmbolizationAbstract
Published reports regarding the use of transcatheter arterial embolization (TAE) for blunt hepatic trauma in young children, especially preschoolers (3–5 years old), are still scarce. We present a case report of a 4-year-old girl who was involved in a motor vehicle accident while sitting in the passenger seat without wearing a seatbelt. Focused Assessment with Sonography for Trauma and contrast-enhanced computed tomography scan showed severe liver injury with signs of active intraabdominal bleeding. Selective hepatic artery embolization was performed to control arterial hemorrhage. No procedure-related complications occurred, and she was discharged on foot on day 14. TAE is a safe and effective treatment for hemostasis in blunt hepatic trauma, and it should be strongly considered as a treatment option not only in adults but in young children as well.
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