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Two Cases of Suspected Liver Compartment Syndrome Treated with Transarterial Embolization
| 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)
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Submitter: 早川 峰司
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