2019 Volume 39 Issue 5 Pages 971-974
A 50–year–old male was transferred to our hospital following blunt abdominal trauma. An abdominal computed tomography scan showed a perforation at the third portion of the duodenum, with contrast extravasation in a hematoma around the duodenum. Because the patient’s vital signs were improved after volume resuscitation, interventional radiology (IVR) prior to a laparotomy was performed. Angiography revealed extravasation from the inferior pancreaticoduodenal artery and transcatheter arterial embolization (TAE) was performed for the artery successfully. During laparotomy, arterial bleeding around the pancreas head was almost controlled and the third portion of the duodenum was injured diffusely with perforation. The injured part of the duodenum was resected, and a side–to–side duodenojejunostomy was performed. The patient was discharged from the hospital without serious complications. TAE prior to laparotomy is thought to be a useful treatment strategy for traumatic duodenal injury with intra–abdominal hemorrhage.
