2015 Volume 29 Issue 1 Pages 1-7
The case was a 9-year-old boy. He fell while cycling and was transported to a nearby hospital. In this previous hospital, liver damage III b (Japan Trauma Society liver damage classification) was found by abdominal enhanced computed tomography (CT). His systolic blood pressure decreased to 60mmHg in the ambulance during transportation to our emergency and critical care center. Because of this hemodynamic instability, we decided on emergency open surgery and damage control surgery. We undertook TAE to stop the continuous bleeding that had lasted for 2 postoperative days. We closed the abdominal wall on the 6th postoperative day and discharged him on the 17th postoperative day. We thought that precise inspection and rapid decision are important when abdominal organ damage is predicted in children with upper abdominal pain due to bicycle handle trauma.
