A CASE OF A CIRRHOTIC PATIENT WHO DIED OF GRADE II SPLENIC TRAUMA DESPITE THE USE OF ANGIOGRAPHIC EMBOLIZATION

Abstract

 A 47-year-old man who had cirrhosis exhibited bruising on his left abdominal wall. Upon arrival, his systolic blood pressure was 88 mmHg and pulse was 96 beats/min. CT showed laceration of the upper pole of the spleen and extravasation in the delayed phase. After he underwent angiographic embolization of the splenic artery, his systolic blood pressure rose to 100 mmHg. During conservative management in the ICU, his blood pressure dropped again. Therefore, he underwent emergency laparotomy. Ongoing bleeding from the splenic laceration was found and he underwent splenectomy. His spleen was AAST grade II . Twenty-two hours after his arrival at hospital, the patient died. We were not able to stop the bleeding because of the cirrhosis.