Stable pt w mesenteric extrav

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Ken

Small bowel injury till proven otherwise at surgery. High rebleed rate and
risk for late infarction / perforation with embolisation.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service
> 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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