[Non-surgical management of patients with blunt abdominal injury: the role of angiography]

• Abstract: OBJECTIVE: We evaluated the efficacy of nonsurgical management of patients with blunt hepatic or renal injury using detailed angiographic examinations and transcatheter arterial embolization. METHODS: The study comprises 5 patients: 3 patients with blunt hepatic injury and 2 patients with blunt renal injury. All patients had CT evidence of hepatic injury, respectively renal injury. In one case with hepatic injury, emergency laparotomy was performed before angiography because of unstable circulatory status. DSA-angiography identified the site of bleeding in all patients, followed by selective embolization with particles of TachoComb. Nonsurgical treatment of hepatic or renal injury with transcatheter arterial embolization was successful in all patients. CONCLUSIONS: Our success rate for nonsurgical management of patients with blunt injury to solid abdominal organs should more extensive evaluation and use of angiography for solid abdominal organs injury and the subsequent management of solid abdominal organs injury without surgery.
• Authors: Cl Turculeţ, B Popa, Monica Palea, D Venter, T Feodor, Georgiana Dinescu (Affiliation: Spitalul Clinic de Urgenţă Floreasca.)
• Journal: Chirurgia (Bucharest, Romania : 1990) (Chirurgia (Bucur)) 2008 Jan-Feb Vol. 103 Issue 1 Pg. 79-85 ISSN: 1221-9118 [Print] Romania
• Vernacular Title: Aspecte ale tratamentului non-operator al traumatismelor abdominale închise: rolul angiografiei.
• PMID: 18459502 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Abdominal Injuries (diagnosis, radiography, therapy)
• Adolescent
• Adult
• Aged
• Angiography (methods)
• Embolization, Therapeutic
• Female
• Humans
• Kidney (injuries)
• Liver (injuries)
• Male
• Middle Aged
• Sensitivity and Specificity
• Treatment Outcome
• Wounds, Nonpenetrating (diagnosis, radiography, therapy)