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Rare case of pediatric trauma with hepatic injury managed using gel-foam embolization: a case report
Asama Rana1, James O'Toole1, Zamaan Hooda1
1Department of Surgery, St. Joseph's University Medical Center, Paterson, NJ 07503, United States.
Insights
Pediatric blunt abdominal trauma can cause severe liver injuries. This case demonstrates successful nonoperative management of a grade IV liver injury using fluoroscopically guided hepatic artery embolization in a child.
Area of Science:
- Interventional Radiology
- Pediatric Surgery
- Trauma Management
Background:
- Nonoperative management is standard for hemodynamically stable hepatic injuries.
- Hepatic artery embolization is an established hemostatic technique for active bleeding in adults.
- Limited literature exists on interventional radiology procedures for pediatric liver trauma.
Observation:
- A pediatric patient presented with blunt abdominal trauma and a grade IV liver injury.
- The patient required intervention due to active bleeding.
Findings:
- Successful fluoroscopically guided right hepatic segmental arterial gel-foam embolization was performed.
- This interventional procedure achieved hemostasis and stabilized the patient.
Implications:
- This case highlights the feasibility and effectiveness of hepatic artery embolization in pediatric liver trauma.
- It supports the expansion of interventional radiology techniques for managing severe liver injuries in children.
- Further research is warranted to establish pediatric-specific guidelines for these interventions.
Abstract:
Nonoperative management for hepatic injuries requires observation and supportive care in the case of hemodynamically stable patients. If there is active bleeding on presentation, hepatic artery embolization is an option to achieve hemostasis in the acute setting. Although interventional radiology procedures are well documented in adults, there is limited literature regarding these procedures in the pediatric population. In this report, we present a case of a pediatric patient who sustained blunt abdominal trauma, resulting in a grade IV liver injury. Treatment involved fluoroscopically guided right hepatic segmental arterial gel-foam embolization.
