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Failure of Nonoperative Management following Angioembolization for Blunt Splenic and Pancreatic Tail Injury
المؤلفون المشاركون
Kubota, Tadao
Nishida, Kazuhiro
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-10-29
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Background.
Over several decades, standard management of blunt spleen injury (BSI) has been changed from operative intervention to the selective operative and nonoperative management (NOM).
However, some patient needs laparotomy first.
This article describes a case of a BSI patient who failed nonoperative management after angioembolization (AE).
Case Presentation.
A 58-year-old man fell from his motorcycle and was brought to our hospital.
His vital sign was stable after extracellular fluid bolus.
A contrast-enhanced computed tomography scan of the abdomen showed AAST grade V spleen injury.
AE was performed for the splenic artery, but his systolic blood pressure suddenly dropped under 60 mmHg.
The resuscitative endovascular balloon occlusion of the aorta was inserted, and immediate laparotomy was performed.
A pancreatic tail injury was detected, and the splenic artery and vein were burst at the pancreatic tail and controlled by hemostatic suture.
After splenectomy, a drain was placed at the pancreatic tail and the abdomen was temporally closed.
The postoperative course was not remarkable except for abdominal abscess treated with antibiotics, and he was discharged on foot.
Conclusion.
Although NOM is becoming one of the choices for severe BSI, there will still be a patient who requires surgery.
Surgeons should be aware of the mechanism of injury and the limitation of AE as an adjunct to NOM.
Patient selection for initial NOM and timing to convert to laparotomy are important.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Nishida, Kazuhiro& Kubota, Tadao. 2020. Failure of Nonoperative Management following Angioembolization for Blunt Splenic and Pancreatic Tail Injury. Case Reports in Emergency Medicine،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147230
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Nishida, Kazuhiro& Kubota, Tadao. Failure of Nonoperative Management following Angioembolization for Blunt Splenic and Pancreatic Tail Injury. Case Reports in Emergency Medicine No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1147230
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Nishida, Kazuhiro& Kubota, Tadao. Failure of Nonoperative Management following Angioembolization for Blunt Splenic and Pancreatic Tail Injury. Case Reports in Emergency Medicine. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147230
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147230
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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