DAMAGE CONTROL STRATEGY USING REBOA, DCS, AND DCIR IN A PATIENT WITH ABDOMINAL AND PELVIC TRAUMA

DOI
  • ISHIDA Kenichiro
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization
  • MATSUMURA Yosuke
    Department of Intensive Care, Chiba Emergency Medical Center
  • OKAMOTO Yutaro
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization
  • OJIMA Masahiro
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization
  • YOSHIKAWA Yoshiaki
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization
  • OGAWA Haruka
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization
  • KIMURA Yutaka
    Department of Radiology, National Cerebral and Cardiovascular Center Hospital
  • NAKAO Hiroshi
    Department of Radiology, Osaka National Hospital, National Hospital Organization
  • NOBORIO Mituhiro
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization
  • OHNISHI Mitsuo
    Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization

Bibliographic Information

Other Title
  • REBOA, DCS, DCIRによるダメージコントロール戦略で救命した腹部・骨盤外傷の一例

Search this article

Abstract

<p>　　A 37-year-old man was admitted to our hospital after a traffic accident. He was in hemorrhagic shock due to pelvic fractures. Resuscitative endovascular balloon occlusion of the aorta (REBOA) was performed to control the bleeding. Contrast-enhanced computed tomography revealed intraperitoneal and retroperitoneal hemorrhage. An emergency laparotomy revealed active bleeding from the root of the sigmoid colon mesentery, which was temporarily controlled by compression with gauze. The treatment strategy was changed from laparotomy to transcatheter arterial embolization (TAE) to embolize both internal iliac arteries. After TAE, sigmoid colon resection, rectal resection, and colostomy were performed. The patient underwent further TAE and repeated laparotomy. Finally, he was transferred to another hospital for rehabilitation. A damage control strategy that included REBOA, damage control surgery, and damage control interventional radiology helped manage life-threatening trauma.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top