Abstract
Identification of vascular injuries is difficult due to mesenteric hematoma in emergency surgery for traumatic mesenteric injuries. We report herein on our experience of a case in which confirmation of the site of injury was obtained by arterial injection of dye during surgery. The patient was a 32-year-old man who was transported to our center because he had been injured having fallen from height. An abdominal CT revealed aneurysms in the mesentery and vascular occlusion of the iliac artery. Accordingly transcatheter embolization was performed for the aneurysms, followed by an emergency laparotomy. The range of mesenteric injury was confirmed easily by being stained blue-green in the area of the small intestine and mesentery by arterial injection of dye via a microcatheter that was placed in the central part of the site of the vascular injury. In emergency surgery for mesenteric injury, arterial infusion of dye using a microcatheter was considered useful for the confirmation of the extent of mesenteric injury and the reduction of the intestinal resection.
