Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report
Mortality from hepatic injury has declined over the last several decades for various reasons, including nonoperative management, such as angioembolization, in more than 80% of cases. Conversely, surgical treatment is preferred in intrahepatic portal vein injury due to several reasons. Here, we repor...
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Korean Society of Traumatology
2022-08-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0013.pdf |
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| author | Sung Hoon Cho Sang Yub Lee Jung Geun Cha Jihoon Hong Sangcjeol Lee Kyoung Hoon Lim |
| author_facet | Sung Hoon Cho Sang Yub Lee Jung Geun Cha Jihoon Hong Sangcjeol Lee Kyoung Hoon Lim |
| author_sort | Sung Hoon Cho |
| collection | DOAJ |
| description | Mortality from hepatic injury has declined over the last several decades for various reasons, including nonoperative management, such as angioembolization, in more than 80% of cases. Conversely, surgical treatment is preferred in intrahepatic portal vein injury due to several reasons. Here, we report a case that treatment of blunt traumatic liver injury accompanied by intrahepatic portal vein injury through portal vein embolization. A 29-year-old female patient was transferred to our trauma center for vehicular accident injuries. Contrast-enhanced abdominal computed tomography showed a massive hemoperitoneum and liver laceration (grade IV) with contrast extravasation suspected of the right portal vein branch but no other organ injury. Since vital signs were stable, we decided to perform nonsurgical radiologic intervention. Portography showed active bleeding of the posterior branch of the right portal vein. A pseudoaneurysm in the portal vein was embolized through percutaneous transhepatic portal vein puncture. On follow-up liver dynamic computed tomography performed 2 days after embolization, the posterior branch of the right portal vein was sufficiently embolized, and no liver parenchymal necrosis was observed. The patient was discharged without any complications 2 weeks later. This report suggests portal vein embolization as a good alternative treatment method for portal vein injury in patients with stable vital signs. |
| format | Article |
| id | doaj-art-f554f0652bda48caa1cc77b0d297f428 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-f554f0652bda48caa1cc77b0d297f4282025-01-16T04:51:18ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-08-0135Suppl 1S31S3410.20408/jti.2022.00131130Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case reportSung Hoon Cho0Sang Yub Lee1Jung Geun Cha2Jihoon Hong3Sangcjeol Lee4Kyoung Hoon Lim5 Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Department of Radiology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Department of Radiology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Department of Radiology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, KoreaMortality from hepatic injury has declined over the last several decades for various reasons, including nonoperative management, such as angioembolization, in more than 80% of cases. Conversely, surgical treatment is preferred in intrahepatic portal vein injury due to several reasons. Here, we report a case that treatment of blunt traumatic liver injury accompanied by intrahepatic portal vein injury through portal vein embolization. A 29-year-old female patient was transferred to our trauma center for vehicular accident injuries. Contrast-enhanced abdominal computed tomography showed a massive hemoperitoneum and liver laceration (grade IV) with contrast extravasation suspected of the right portal vein branch but no other organ injury. Since vital signs were stable, we decided to perform nonsurgical radiologic intervention. Portography showed active bleeding of the posterior branch of the right portal vein. A pseudoaneurysm in the portal vein was embolized through percutaneous transhepatic portal vein puncture. On follow-up liver dynamic computed tomography performed 2 days after embolization, the posterior branch of the right portal vein was sufficiently embolized, and no liver parenchymal necrosis was observed. The patient was discharged without any complications 2 weeks later. This report suggests portal vein embolization as a good alternative treatment method for portal vein injury in patients with stable vital signs.http://jtraumainj.org/upload/pdf/jti-2022-0013.pdfintrahepaticportal vein injuryembolizationcase reports |
| spellingShingle | Sung Hoon Cho Sang Yub Lee Jung Geun Cha Jihoon Hong Sangcjeol Lee Kyoung Hoon Lim Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report Journal of Trauma and Injury intrahepatic portal vein injury embolization case reports |
| title | Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report |
| title_full | Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report |
| title_fullStr | Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report |
| title_full_unstemmed | Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report |
| title_short | Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report |
| title_sort | portal vein embolization in intrahepatic portal vein injury after blunt trauma a case report |
| topic | intrahepatic portal vein injury embolization case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0013.pdf |
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