Acute celiac artery occlusion secondary to blunt trauma:Two case reports
作者机构：Department of TraumatologyChongqing University Central HospitalChongqing 400080China Department of RadiologyChongqing University Central HospitalChongqing 400080China
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2020年第8卷第23期
页 面：6164-6171页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Celiac artery Acute occlusion Superior mesenteric artery Multiple trauma Liver injury Case report Collateral branches
摘 要：BACKGROUND Acute celiac artery(CA)injuries are extremely rare but potentially life-threatening and are more often caused by a penetrating injury rather than a blunt *** clinical manifestation of CA injuries is usually atypical,which easily causes missed diagnosis and ***,there are only a few reports of acute traumatic occlusion of *** CA artery gives off branches to dominate the liver,*** spleen;however,occluded CA did not cause significant organ ischemia,and the compensatory blood flow from the superior mesenteric artery(SMA)played a pivotal *** SUMMARY Herein,we report two cases of acute CA occlusion secondary to severe blunt *** one was a 19-year-old male,suffered from a motorcycle *** complained of dyspnea,and the closed drainage was performed soon after the hemopneumothorax was confirmed by *** tomography(CT)scan revealed hemopneumothorax,multiple rib fractures,right scapular fracture,and liver *** with contrast-enhanced CT suggested perihepatic fluid was significantly increased,and CA was *** the hepatic hemorrhage is associated with hepatic artery injury,the CA was retrogradely opened through the SMA,and then,the right hepatic artery was embolized with coils successfully through the conventional *** implantation was not performed,and the CA occlusion was managed by conservative treatment.A follow-up CT scan 3 mo after discharge showed the origin of CA remained *** two was a 37-year-old man,suffered injury from fall from *** complained of lower back and bilateral heel ***-enhanced CT examination revealed multiple rib fractures,bilateral pneumothorax,fourth lumbar(L4)vertebral burst fracture,and pelvic ***,a small high-density mass in a lesser peritoneal sac and in front of the abdominal aorta was *** reexamination 14 h after admission showed the CA was *** patient was conservatively treat
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