Transcatheter Arterial Embolization for Blunt Hepatic Trauma in a Preschooler

Abstract

Published reports regarding the use of transcatheter arterial embolization (TAE) for blunt hepatic trauma in young children, especially preschoolers (3–5 years old), are still scarce. We present a case report of a 4-year-old girl who was involved in a motor vehicle accident while sitting in the passenger seat without wearing a seatbelt. Focused Assessment with Sonography for Trauma and contrast-enhanced computed tomography scan showed severe liver injury with signs of active intraabdominal bleeding. Selective hepatic artery embolization was performed to control arterial hemorrhage. No procedure-related complications occurred, and she was discharged on foot on day 14. TAE is a safe and effective treatment for hemostasis in blunt hepatic trauma, and it should be strongly considered as a treatment option not only in adults but in young children as well.

Keywords

• Non-Operative Management
• Blunt Hepatic Trauma
• Pediatric Trauma
• Transcatheter Arterial Embolization