TY - JOUR PY - 2015// TI - A child case of blunt liver injury ( iii b) caused by bicycle handlebars that underwent transcatheter arterial embolization and damage control surgery JO - Journal of the Japanese Association for the Surgery of Trauma A1 - Minagawa, Yukihiro A1 - Yoshida, Shuhei A1 - Takahashi, Masanori A1 - Tohsya, Tsutomu A1 - Shimooki, Osamu A1 - Kaneko, Yuka A1 - Abe, Tadashi SP - 1 EP - 7 VL - 29 IS - 1 N2 - The case was a 9-year-old boy. He fell while cycling and was transported to a nearby hospital. In this previous hospital, liver damage III b (Japan Trauma Society liver damage classification) was found by abdominal enhanced computed tomography (CT). His systolic blood pressure decreased to 60mmHg in the ambulance during transportation to our emergency and critical care center. Because of this hemodynamic instability, we decided on emergency open surgery and damage control surgery. We undertook TAE to stop the continuous bleeding that had lasted for 2 postoperative days. We closed the abdominal wall on the 6th postoperative day and discharged him on the 17th postoperative day. We thought that precise inspection and rapid decision are important when abdominal organ damage is predicted in children with upper abdominal pain due to bicycle handle trauma.
Language: ja
LA - ja SN - 1340-6264 UR - http://dx.doi.org/10.11382/jjast.29.1 ID - ref1 ER -