Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma
Splenic injury is a common result of blunt trauma, and bleeding occurs mainly inside the splenic capsule and may leak into the peritoneal space. Herein, we report a case where active bleeding occurred in the splenic artery and only leaked into the extraperitoneal space. This is the first case of thi...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Traumatology
2021-06-01
|
| Series: | Journal of Trauma and Injury |
| Subjects: | |
| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0076.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832544017402822656 |
|---|---|
| author | Sang Hyun Seo Hyun Seok Jung Chan Yong Park |
| author_facet | Sang Hyun Seo Hyun Seok Jung Chan Yong Park |
| author_sort | Sang Hyun Seo |
| collection | DOAJ |
| description | Splenic injury is a common result of blunt trauma, and bleeding occurs mainly inside the splenic capsule and may leak into the peritoneal space. Herein, we report a case where active bleeding occurred in the splenic artery and only leaked into the extraperitoneal space. This is the first case of this phenomenon in a trauma patient in the English-language literature. Bleeding passed through the peritoneum, leaked into the anterior pararenal space, and continued along the extraperitoneal space to the prevesical space of the pelvis. Therefore, on the initial computed tomography (CT) scan, the bleeding appeared to be in the left paracolic gutter, so we suspected mesenteric bleeding. However, after the CT series was fully reconstructed, we accurately read the scans and confirmed splenic injury with active bleeding. If there had been a suspicion of bowel or mesenteric injury, surgery would have been required, but fortunately surgery could be avoided in this case. The patient was successfully treated with angioembolization. |
| format | Article |
| id | doaj-art-ca0bc3e7e2c64f31849ad05d4875afbc |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-ca0bc3e7e2c64f31849ad05d4875afbc2025-02-03T11:12:10ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832021-06-0134214114510.20408/jti.2020.00761057Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt TraumaSang Hyun Seo0Hyun Seok Jung1Chan Yong Park2 Department of Radiology, Wonkwang University Hospital Regional Trauma Center, Iksan, Korea Department of Radiology, Wonkwang University Hospital Regional Trauma Center, Iksan, Korea Division of Trauma Surgery, Department of Surgery, Seoul National University Hospital, Seoul, KoreaSplenic injury is a common result of blunt trauma, and bleeding occurs mainly inside the splenic capsule and may leak into the peritoneal space. Herein, we report a case where active bleeding occurred in the splenic artery and only leaked into the extraperitoneal space. This is the first case of this phenomenon in a trauma patient in the English-language literature. Bleeding passed through the peritoneum, leaked into the anterior pararenal space, and continued along the extraperitoneal space to the prevesical space of the pelvis. Therefore, on the initial computed tomography (CT) scan, the bleeding appeared to be in the left paracolic gutter, so we suspected mesenteric bleeding. However, after the CT series was fully reconstructed, we accurately read the scans and confirmed splenic injury with active bleeding. If there had been a suspicion of bowel or mesenteric injury, surgery would have been required, but fortunately surgery could be avoided in this case. The patient was successfully treated with angioembolization.http://www.jtraumainj.org/upload/pdf/jti-2020-0076.pdfsplenic arterytraumableedingextraperitonealembolization |
| spellingShingle | Sang Hyun Seo Hyun Seok Jung Chan Yong Park Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma Journal of Trauma and Injury splenic artery trauma bleeding extraperitoneal embolization |
| title | Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma |
| title_full | Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma |
| title_fullStr | Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma |
| title_full_unstemmed | Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma |
| title_short | Splenic Artery Bleeding into the Extraperitoneal Space Mimicking Mesenteric Injury: A Rare Case of Blunt Trauma |
| title_sort | splenic artery bleeding into the extraperitoneal space mimicking mesenteric injury a rare case of blunt trauma |
| topic | splenic artery trauma bleeding extraperitoneal embolization |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0076.pdf |
| work_keys_str_mv | AT sanghyunseo splenicarterybleedingintotheextraperitonealspacemimickingmesentericinjuryararecaseofblunttrauma AT hyunseokjung splenicarterybleedingintotheextraperitonealspacemimickingmesentericinjuryararecaseofblunttrauma AT chanyongpark splenicarterybleedingintotheextraperitonealspacemimickingmesentericinjuryararecaseofblunttrauma |