A CASE REPORT OF AN ABDOMINAL STAB WOUND EFFECTIVELY TREATED BY ANGIOGRAPHIC EMBOLIZATION

DOI 10 References
  • YO Kikuo
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • SATO Yukio
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • ABE Shinya
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • KURIHARA Tomohiro
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • FUNABIKI Tomohiro
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • SEKINE Kazuhiko
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • YAMAZAKI Motoyasu
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • ISHIKAWA Hideki
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • NAMIKI Jun
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • NAKATSUKA Seishi
    Department of Diagnostic Radiology, School of Medicine, Keio University
  • HORI Shingo
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • AIKAWA Naoki
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University

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Other Title
  • 腹部刺創に伴う腰動脈損傷の1症例–腹部刺創患者に対する経カテーテル動脈塞栓術の有用性–

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<p>　　A 48-year-old woman who had stabbed herself was transferred to our ER. Her vital signs were hemodynamically stable, and no signs of peritonitis were seen on physical examination. Extravasation of contrast material and retroperitoneal hematoma around the aortic bifurcation were revealed by a contrast enhanced CT, and thus we planned transcatheter arterial embolization and laparotomy. Angiography revealed that the 3rd and 4th lumbar arteries were responsible for the hemorrhage, and these were successfully embolized using metallic coils. On laparotomy, omentum injury and retroperitoneal hematoma were found, but these did not require surgical intervention.</p><p>　　There are few reported cases of the abdominal stab wounds patients treated with transcatheter arterial embolization. The efficacy of this method has not been established ; however, the present case suggests angiographic intervention could be a useful treatment method in some cases of abdominal stab wounds.</p>

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