Traumatic hepatic artery laceration managed by transarterial embolization in a pediatric patient

J Pediatr Surg. 2013 May;48(5):E9-12. doi: 10.1016/j.jpedsurg.2013.02.066.

Abstract

While blunt abdominal trauma with associated liver injury is a common finding in pediatric trauma patients, hepatic artery transection with subsequent treatment by transarterial embolization has rarely been reported. We present a case of a child who suffered from a hepatic artery injury which was successfully managed by supraselective transarterial microcoil embolization, discuss management strategies in these patients, and provide a review of currently available literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Injuries / complications
  • Abdominal Injuries / diagnostic imaging
  • Bicycling / injuries
  • Bile Ducts / injuries
  • Bile Ducts / surgery
  • Blood Transfusion
  • Child
  • Cholangiopancreatography, Endoscopic Retrograde
  • Combined Modality Therapy
  • Diet, Fat-Restricted
  • Drainage
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Fluid Therapy
  • Hematoma / etiology
  • Hematoma / surgery
  • Hemoperitoneum / etiology
  • Hemoperitoneum / therapy
  • Hepatic Artery / diagnostic imaging
  • Hepatic Artery / injuries*
  • Humans
  • Hypotension / etiology
  • Hypotension / therapy
  • Lacerations / diagnostic imaging
  • Lacerations / etiology
  • Lacerations / therapy
  • Liver / injuries
  • Male
  • Pleural Effusion / etiology
  • Pleural Effusion / surgery
  • Radiography, Interventional
  • Sphincterotomy, Endoscopic
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / diagnostic imaging
  • alpha 1-Antitrypsin Deficiency / complications