open access

https://hdl.handle.net/2115/44885

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

英語

非手術療法

2005-07

日本救急医学会

日本救急医学会雑誌

16(7)

301-306

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.

学術雑誌論文

Accepted Manuscript

0915-924X

1883-3772

AN10284604