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Stable pt w mesenteric extrav

khumar huseynova khumarhuse at yahoo.ca
Sun Dec 21 02:29:30 GMT 2008


Another case we saw 2 days ago:
 
67M post-MVA single rollover, brought to us about 5-6hrs post-accident. BMI>30. Stable vitals, GCS=14-15. CT abdo showed segmental SB and splenic flexure thickening with active but completely contained in the LUQ extrav from the mesenetery. Very small amount of FF in the pelvis, no other injuries, no FA.
Anyone have experience with embolization of mesenteric branches after checking for collaterals during angio? Or would u take him to OR solely based on CT findings even if the hematoma/extrav was very small and contained?
 
K


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