Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report

A 64-year-old male visited our emergency department due to severe right flank pain after falling from a 2-meter height. Contrast-enhanced CT revealed a right hemothorax with multiple fractures in the right ribs and iliac bone. A small hematoma in the right perihepatic space was noted, but there w...

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Autores principales:	Joonghyun Yoo, Sung-Joon Park, Seung Hwa Lee, Hwan Hoon Chung
Formato:	article
Lenguaje:	EN KO
Publicado:	The Korean Society of Radiology 2021
Materias:	contrecoup injury abdominal injuries portal vein therapeutic embolization interventional radiology Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/b356b49dba5b4bfe8655d80dc2ea9d25
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spelling	oai:doaj.org-article:b356b49dba5b4bfe8655d80dc2ea9d252021-11-29T11:18:13ZContrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report2288-2928https://doaj.org/article/b356b49dba5b4bfe8655d80dc2ea9d252021-11-01T00:00:00Zhttps://doi.org/10.3348/jksr.2020.0190https://doaj.org/toc/2288-2928A 64-year-old male visited our emergency department due to severe right flank pain after falling from a 2-meter height. Contrast-enhanced CT revealed a right hemothorax with multiple fractures in the right ribs and iliac bone. A small hematoma in the right perihepatic space was noted, but there was no hepatic laceration on CT. Initial surgical management led to continuous uncontrolled bleeding around the porta hepatis, and subsequent arterial angiography could not demonstrate a bleeding focus. However, immediate follow-up CT showed contrast extravasation on the left side of abdomen, and a percutaneous transhepatic portal venogram revealed active bleeding from the left portal vein. Although the wound was embolized with a glue, the patient suffered from a cardiac arrest and finally expired. In conclusion, during evaluation of abdominal trauma patients, portal vein bleeding and contrecoup injuries should be considered when hepatic arteriography findings are unremarkable.Joonghyun YooSung-Joon ParkSeung Hwa LeeHwan Hoon ChungThe Korean Society of Radiologyarticlecontrecoup injuryabdominal injuriesportal veintherapeutic embolizationinterventional radiologyMedical physics. Medical radiology. Nuclear medicineR895-920ENKO대한영상의학회지, Vol 82, Iss 6, Pp 1594-1599 (2021)
institution	DOAJ
collection	DOAJ
language	EN KO
topic	contrecoup injury abdominal injuries portal vein therapeutic embolization interventional radiology Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	contrecoup injury abdominal injuries portal vein therapeutic embolization interventional radiology Medical physics. Medical radiology. Nuclear medicine R895-920 Joonghyun Yoo Sung-Joon Park Seung Hwa Lee Hwan Hoon Chung Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report
description	A 64-year-old male visited our emergency department due to severe right flank pain after falling from a 2-meter height. Contrast-enhanced CT revealed a right hemothorax with multiple fractures in the right ribs and iliac bone. A small hematoma in the right perihepatic space was noted, but there was no hepatic laceration on CT. Initial surgical management led to continuous uncontrolled bleeding around the porta hepatis, and subsequent arterial angiography could not demonstrate a bleeding focus. However, immediate follow-up CT showed contrast extravasation on the left side of abdomen, and a percutaneous transhepatic portal venogram revealed active bleeding from the left portal vein. Although the wound was embolized with a glue, the patient suffered from a cardiac arrest and finally expired. In conclusion, during evaluation of abdominal trauma patients, portal vein bleeding and contrecoup injuries should be considered when hepatic arteriography findings are unremarkable.
format	article
author	Joonghyun Yoo Sung-Joon Park Seung Hwa Lee Hwan Hoon Chung
author_facet	Joonghyun Yoo Sung-Joon Park Seung Hwa Lee Hwan Hoon Chung
author_sort	Joonghyun Yoo
title	Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report
title_short	Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report
title_full	Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report
title_fullStr	Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report
title_full_unstemmed	Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report
title_sort	contrecoup injury associated with fatal portal vein bleeding: a case report
publisher	The Korean Society of Radiology
publishDate	2021
url	https://doaj.org/article/b356b49dba5b4bfe8655d80dc2ea9d25
work_keys_str_mv	AT joonghyunyoo contrecoupinjuryassociatedwithfatalportalveinbleedingacasereport AT sungjoonpark contrecoupinjuryassociatedwithfatalportalveinbleedingacasereport AT seunghwalee contrecoupinjuryassociatedwithfatalportalveinbleedingacasereport AT hwanhoonchung contrecoupinjuryassociatedwithfatalportalveinbleedingacasereport
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Contrecoup Injury associated with Fatal Portal Vein Bleeding: A Case Report

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