Splenic injury with active bleeding treated with embolisation

Case contributed by Dr Andrew Dixon

Presentation

Car accident.

Patient Data

Age: 18
Gender: Male

High grade splenic injury (grade IV) with areas of devasularlisation, active contrast extravasation and haemoperitoneum. The injury appeared isolated and the patient was relatively haemodynamically stable and therefore proceeded to interventional radiology for embolization. 

Modality: DSA (angiography)

Distal selective coil embolisation of one actively bleeding vessel and another traumatically occluded vessel was performed prior to proximal splenic artery coil embolization (not shown). 

Case Discussion

High grade actively bleeding splenic injury treated with combined distal (selective) embolisation and proximal embolisation.  

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Case Information

rID: 45349
Case created: 22nd May 2016
Last edited: 27th May 2016
Inclusion in quiz mode: Included

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