Massive hemothorax due to inferior phrenic artery injury after blunt trauma

World Journal of Emergency Surgery

Kiyohiro Oshima¹  Yoshito Tsushima²  Yoshinori Koyama²  Masahiko Kanbe¹  Shuichi Hagiwara¹  Jun Nakajima¹  Masato Murata¹  Ayana Koizumi²  Minoru Kaneko¹  Kei Shibuya²  Makoto Aoki² 

[1] Department of Emergency Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan;Department of Diagnostic and Interventional Radiology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

关键词: N-butyl cyanoacrylate;    Transcatheter arterial embolization;    Blunt trauma;    Inferior phrenic artery;   

Others  :  1235447
DOI  :  10.1186/s13017-015-0052-3

 received in 2015-09-28, accepted in 2015-11-19,  发布年份 2015

【 摘 要 】

Injury to the inferior phrenic artery after blunt trauma is an extremely rare event, and it may occur under unanticipated conditions. This case report describes an injury to the left inferior phrenic artery caused by blunt trauma, which was complicated by massive hemothorax, and treated with transcatheter arterial embolization (TAE).

An 81 year-old female hit by a car while walking at the traffic intersection was transferred to the emergency department, computed tomography scanning revealed active extravasations of the contrast medium within the retrocrural space and from branches of the internal iliac artery. The patient underwent repeated angiography, and active extravasation of contrast medium was observed between the retrocrural space and the right pleural space originating from the left inferior phrenic artery. The injured left inferior phrenic artery was successfully embolized with N-butyl cyanoacrylate, resulting in stabilization of the patient’s clinical condition.

Inferior phrenic artery injury should be recognized as a rare phenomenon and causative factor for hemothorax. TAE represents a safe and effective treatment for this complication and obviates the need for a thoracotomy.

【 授权许可】

   
2015 Aoki et al.

【 图 表 】

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