Blunt splenic injury in a child with situs inversus totalis treated with transcatheter arterial embolization

• Main Authors: Naoki Hashizume (Author), Kimio Asagiri (Author), Naoko Komatsuzaki (Author), Suguru Fukahori (Author), Shinji Ishii (Author), Nobuyuki Saikusa (Author), Naruki Higashidate (Author), Motomu Yoshida (Author), Saki Sakamoto (Author), Hirotomo Nakahara (Author), Yoshihiko Konoike (Author), Kojiro Nagai (Author), Shigeo Shimose (Author), Takashi Niizeki (Author), Minoru Yagi (Author)
• Format: Book
• Published: Elsevier, 2016-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

We report the first case of blunt splenic rupture in a child with situs inversus totalis treated with transcatheter arterial embolization (TAE). A 12-year-old girl fell roughly 4 feet onto the pavement while riding her bicycle. Contrast-enhanced computed tomography revealed situs inversus totalis, a massive hemorrhage in the abdominal cavity, and a ruptured spleen with extravasation. Arteriography showed that the internal organs were located opposite their normal positioning. TAE was carried out with gelfoam and a micro coils at the branch of the upper lobe of the splenic artery. TAE is effective for blunt splenic injury with extravasation in a child with situs inversus. In TAE, there is no technical difference about situs inversus excepted mirror image of abdominal vascular formation.

Item Description

2213-5766
10.1016/j.epsc.2016.07.004