Abstract
We report two cases with abdominal stab organ injuries successfully treated with transcatheter arterial embolization. Case 1: A 35-year-old woman was stabbed at several bodily sites while walking on the street. An injury to the right anterior chest reached to the abdominal cavity. Her blood pressure at presentation was maintained, and enhanced CT imaging showed a right hepatic lobe injury, extravascular contrast medium leakage, and intraperitoneal bleeding. Only the liver had sustained a major injury. However, continuous bleeding from the injured portion was considered likely to be controllable by hepatic artery embolization. Transcatheter arterial embolization was thus performed, and successful control of the bleeding was achieved. Case 2: A 63-year-old man was stabbed in the right back with a fruit knife during a spousal argument. Although his blood pressure at presentation was 76/43 mmHg, it rose with fluid volume loading, and imaging revealed a right kidney injury with extravascular contrast medium leakage. Because bleeding was from the renal artery branch, it was considered likely to be controllable with renal artery embolization. Transcatheter arterial embolization achieved bleeding control. Transcatheter arterial embolization is the hemostatic approaches for management of abdominal stab organ injuries if patients were hemodynamically stable and had CT scan evaluation.
