A CASE OF LATE HEPATIC COMPARTMENT SYNDROME FOLLOWING BLUNT HEPATIC INJURY AFTER TREATED WITH TRANSCATHETER ARTERIAL EMBOLIZATION

Abstract

　　Transcatheter arterial embolization is widely performed in hemodynamically stable patients with blunt liver injury, wherein biloma is one of its major complications. We present a case of hepatic compartment syndrome (HCS), in whom intrahepatic pressure had built up due to the accumulation of bile during the sub-acute phase after blunt trauma. Diagnosis was made with computed tomography (CT) and observation of the clinical course. HCS due to biloma is rare ; nevertheless, trauma physicians should take care to remember this complication when treating blunt liver injury patients, and that it is important to promptly relieve the intraparenchymal pressure.