Successful Endovascular Therapy in an Elderly Patient with Severe Hemorrhage Caused by Traumatic Injury

Open Medicine
Masato MurataKiyohiro Oshima

Abstract

An 85-year-old female suffered pelvic fracture, multiple rib fractures, right hemopneumothorax, and blunt abdominal aortic injury in a traffic accident. After transfer to our hospital, transcatheter arterial embolization (TAE) was performed immediately for hemorrhage from the bilateral internal iliac arteries. Enhanced computed tomography (CT) after TAE showed an increase of hematoma and extravasation at the bifurcation of the abdominal aorta. Therefore, emergency abdominal endovascular aortic repair was performed on the same day. On the 3rd day after transfer, metabolic acidosis worsened suddenly, and enhanced CT revealed intestinal necrosis. Emergency surgery for the intestinal necrosis was performed. The patient was transferred to the previous hospital on the 31st day after transfer. Endovascular treatment is useful for elderly patients with severe trauma. However, the preservation and/or reconstruction of the blood flow to important organs should be monitored.

References

Dec 12, 2001·Seminars in Vascular Surgery·M B Welborn, J M Seeger
Jun 28, 2005·Annals of Vascular Surgery·Theodore H TeruyaJeffrey L Ballard
Jan 18, 2007·Emergency Radiology·Martin GunnEric K Hoffer
Feb 11, 2012·Journal of Vascular Surgery·Sherene ShalhubMartin Gunn
Jul 6, 2015·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Kellie SosnowskiHayden White

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