CT arteriography-guided embolization in hepatic bleeding: a case report
| Autor: | Hidenari Akiba, Yasufumi Asai, Jota Saito, Naoya Yama, M. Tamakawa, Hidetoshi Inomata, S. Kitagawa, Masato Hareyama, K. Koito |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Hepatic bleeding business.industry medicine.medical_treatment Periportal space Spiral computed tomography medicine.anatomical_structure Angiography Emergency Medicine medicine Radiology Nuclear Medicine and imaging Radiology Embolization Hepatic hematoma business Artery Medical systems |
| Zdroj: | Emergency Radiology. 8:55-58 |
| ISSN: | 1070-3004 |
| Popis: | A 33-year-old man with hepatic bleeding was transferred to our hospital. Conventional plain and enhanced spiral computed tomography (CT) with a Siemens Somatom Plus-S scanner (Siemens AG, Erlangen, Germany) revealed a large hepatic hematoma and active extrahepatic bleeding. A unified spiral CT and angiography system (IVR-CT/Angio system; Toshiba Medical Systems, Tokyo, Japan) was employed, and selective catheterization-aided CT arteriography (CTA) showed additional active extrahepatic bleeding. These findings were not detected on conventional spiral CT or angiography. The CTA findings led us to successful transarterial embolization (TAE). After TAE, CT scan revealed that the contrast material injected in the hepatic artery was diffusing into the periportal space. Twenty-four days after TAE, a central bisegmentectomy of the liver was performed. Unfortunately, the cause of the hepatic bleeding was not clear pathologically. |
| Databáze: | OpenAIRE |
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