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Two Cases of Delayed Splenic Rupture Treated Successfully by Transcatheter Arterial Embolization
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- Matsui Takuya
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Kitagami Hidehiko
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Watanabe Kaori
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Fujihata Shiro
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Nakamura Kenichi
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Watanabe Takahiro
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Yasuda Akira
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Yamamoto Minoru
- Department of Surgery, KARIYA TOYOTA General Hospital
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- Tanaka Moritsugu
- Department of Surgery, KARIYA TOYOTA General Hospital
Bibliographic Information
- Other Title
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- 遅発性に発症した外傷性脾破裂に対しtranscatheter arterial embolizationを施行し良好な経過を得た2例
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Description
We report two cases of delayed splenic rupture that were treated successfully by transcatheter arterial embolization (TAE), with a review of the literature. Case 1: A 35-year-old woman presented to our hospital with trauma to the left side of the abdomen. Because CT on admission revealed splenic injury (Type IIIb according to the 2008 Classification of Splenic Injury of the Japanese Association for the Surgery of Trauma), she was treated with TAE. Six days after admission, she complained of acute abdominal pain. Based on abdominal CT findings of an enlarged spleen with fluid collection in the peritoneal cavity, delayed splenic rupture was subsequently diagnosed. Splenic arteriography demonstrated a pseudoaneurysm, and the middle pole branch of the splenic artery was occluded by micro coils. The patient recovered uneventfully and was discharged after 21 days. Case 2: A 34-year-old man injured his left lateral abdomen in an accident. He visited his primary care physician, 20 days after the event, because of acute abdominal pain. He was referred to our hospital for hypotension. CT on admission showed splenic injury (Type III b), and therefore, he underwent selective TAE. Delayed splenic rupture was diagnosed due to the length of time between his injury and the occurrence of symptoms. The patient recovered and was discharged after 5 days.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 48 (8), 715-722, 2015
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390282679895121280
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- NII Article ID
- 130005094155
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed