2019 Volume 39 Issue 7 Pages 1307-1311
【Case 1】 A 54-year-old male was transported to our hospital by ambulance because of hepatic rupture. Two transcatheter arterial embolizations were performed to treat the hepatic rupture of unknown cause. Twelve days after the admission, a careful review of the history revealed that the patient had sustained blunt abdominal trauma 66 days prior to admission; consequently, the patient was diagnosed as a case of grade Ib hepatic injury. 【Case 2】 A 59-year-old female who had undergone subtotal stomach-preserving pancreaticoduodenectomy for pancreatic cancer met with a traffic accident 6 months after the surgery, and was diagnosed as having bilateral rib injuries. She then developed dyspnea and was admitted to our hospital 29 days after the accident. Abdominal computed tomography revealed grade Ib hepatic injury, and the patient underwent non-operative management. Both cases were asymptomatic in the early phase of the injury, but suffered from delayed hepatic rupture. Thus, in cases of hepatic rupture of unknown origin, a careful review of the history for any instance of blunt trauma is important.
