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Two Cases of Suspected Liver Compartment Syndrome Treated with Transarterial Embolization

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Title: Two Cases of Suspected Liver Compartment Syndrome Treated with Transarterial Embolization
Other Titles: 肝コンパートメント症候群を疑われ経動脈塞栓術にて治療した2症例
Authors: Hayakawa, Mineji1 Browse this author →KAKEN DB
Gando, Satoshi2 Browse this author →KAKEN DB
Hoshino, Hirokatsu3 Browse this author
Uegaki, Shinji4 Browse this author
Oshiro, Akiko5 Browse this author
Authors(alt): 早川, 峰司1
丸藤, 哲2
星野, 弘勝3
上垣, 慎二4
大城, あき子5
Keywords: angiography
blunt hepatic injury
compartment syndrome
arterial portal venous shunting
non-operative management
動脈造影
鈍的肝外傷
コンパートメント症候群
動門脈シャント
非手術療法
Issue Date: Jul-2005
Publisher: 日本救急医学会
Journal Title: 日本救急医学会雑誌
Volume: 16
Issue: 7
Start Page: 301
End Page: 306
Abstract: We herein present two cases suspected of having liver compartment syndrome that were successfully managed with transarterial embolization (TAE). The first patient was a 40-year-old female involved in a car accident. Contrast-enhanced computed tomography (CT) showed a large intraparenchymal hematoma and active hemorrhaging in the hematoma. Transarterial embolization was performed. A hepatofugal portal flow was only detected in the right lobe of the liver, and a normal antegrade flow was observed in the left lobe. The second patient was a 73-year-old man who had fallen down a flight of stairs. Contrast-enhanced CT showed a large intraparenchymal hematoma. On angiography, a small hemorrhage was observed and TAE was performed. A hepatofugal portal flow was detected in the right lobe of the liver. Liver compartment syndrome is defined as intraparenchymal hypertension induced by a large subcapsular hematoma in a patient with blunt hepatic injury. Liver compartment syndrome causes a disruption in the normal liver circulation and may result in either hepatic ischemia or Budd-Chiari syndrome. It is important to prevent an enlargement of the hematoma by applying TAE.
Type: article (author version)
URI: http://hdl.handle.net/2115/44885
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 早川 峰司

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