Article ID: 35.1_03
Non-operative management (NOM) is indicated as a treatment strategy for liver injury with stable vital signs and no active bleeding on enhanced CT. We report a pediatric case in which the hemodynamics became unstable the day after admission when NOM was initiated due to rupture of subcapsular hematoma. Transcatheter arterial embolization (TAE) was required for a pseudoaneurysm in the peripheral hepatic arteries. CT on the 9th day after injury revealed a pseudoaneurysm at a different site and secondary TAE was performed. Pediatric type I liver injury may require angiographic evaluation even if extravasation of contrast media is not observed on CT.
