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

DOI 機関リポジトリ (HANDLE) 被引用文献2件 オープンアクセス
  • 早川 峰司
    北海道大学大学院医学研究科侵襲制御医学講座救急医学
  • 丸藤 哲
    北海道大学大学院医学研究科侵襲制御医学講座救急医学
  • 星野 弘勝
    北海道大学大学院医学研究科侵襲制御医学講座救急医学
  • 上垣 慎二
    北海道大学大学院医学研究科侵襲制御医学講座救急医学
  • 大城 あき子
    北海道大学大学院医学研究科侵襲制御医学講座救急医学

書誌事項

タイトル別名
  • Two Cases of Suspected Liver Compartment Syndrome Treated with Transarterial Embolization

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説明

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.

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