Abstract
Generally, the major treatment for blunt trauma to the mesentery with shock caused by abdominal bleeding is emergency surgery because of the critical nature of this injury and the possible complications of intestinal injury and ischemia. Since 2000, we have been treating this injury, using transcatheter coil embolization of the mesenteric artery, and a limited number of patients were stabilized after volume resuscitation. To prevent intestinal injury and ischemia, enhanced CT and angiography of the intestine after coil embolization using microcoils for landmarks and DPA (Diagnostic Peritoneal Aspiration) should be performed. Compared with emergency surgery, embolization reduced the amount of transfused blood, the number of hospital days, and the total amount of bleeding during operation, if an operation was needed following embolization. Interventional radiology may be a useful treatment alternative for mesenteric injuries.
