Abstract
We report that a case of primary abdominal compartment syndrome (ACS), caused by blunt liver injury under the oral anticoagulation therapy, was successfully treated. Transcatheter arterial embolization (TAE) was initially selected, and the bleeding point of hepatic artery was embolized with N-Butyl Cyanoacylate (NBCA). Secondary, percutaneous catheter drainage (PCD) was performed for massive hemoperitoneum. There are some reports of ACS treated with TAE. However, combination treatment of TAE with NBCA and PCD for ACS has not been reported. Even low invasive interventional procedures may improve primary ACS if the patient has hemorrhagic diathesis or coagulopathy discouraging surgeon from laparotomy.
Highlights
Abdominal compartment syndrome (ACS) is a lifethreatening disorder, resulting when the consequent abdominal swelling or peritoneal fluid raises intraabdominal pressures (IAP) to supraphysiologic levels
We report that a case of primary ACS, caused by blunt liver injury under the oral anticoagulation therapy, was successfully treated with interventional techniques
We reviewed the previous reports of ACS treated with transcatheter arterial embolization (TAE)
Summary
Abdominal compartment syndrome (ACS) is a lifethreatening disorder, resulting when the consequent abdominal swelling or peritoneal fluid raises intraabdominal pressures (IAP) to supraphysiologic levels. We reviewed the previous reports of ACS treated with transcatheter arterial embolization (TAE). It may be considered as an alternative to surgical intervention for an ACS. Case presentation A 71-year-old man was admitted to emergency unit for abdominal trauma due to traffic accident. His consciousness was unclear and shock index was 1.8 Digtal subtraction angiography (DSA) of the celiac artery demonstrated the perforated left hepatic arterial branch with exravasation (Figure 2a). He was discharged from the hospital without any major complications on 32 days after TAE
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