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acute celiac artery occlusion secondary to blunt trauma:Two case reports

World Journal of Clinical Cases 2020年第23期8卷 6164-6171页

作者： Hui Li Yu Zhao Yan-An Xu Tao Li Jun Yang Ping Hu Tao Ai Department of Traumatology Chongqing University Central HospitalChongqing 400080China Department of Radiology Chongqing University Central HospitalChongqing 400080China

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

关键词： Celiac artery acute occlusion Superior mesenteric artery Multiple trauma Liver injury Case report Collateral branches

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