Super - Selective Hepatic Angioembolization for Traumatic Hepatic Artery Laceration in a Child

Abstract

47 Blunt abdominal trauma is a major cause of abdominal injury in children. The liver is the second most commonly injured organ followed by the spleen1. Nonoperative management (NOM) became the main choice for hemodynamically stable patients with solid organ injury (SOI)2-4. The reported success rate of NOM in pediatrics reached up to 90%3. Adjunct arterial embolization, if indicated, increases the success of NOM. Data about the role of arterial angioembolization (AE) in treating traumatic hepatic arterial bleed in adults is abundant. However, the use of (AE) is not frequently reported for treatment of blunt solid organ injury in children, especially primary traumatic liver bleeding. Our case is a successful super-selective angioembolization of primary traumatic hepatic artery bleed in a child.