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[Non-surgical management of patients with blunt abdominal injury: the role of angiography].

OBJECTIVE
We evaluated the efficacy of nonsurgical management of patients with blunt hepatic or renal injury using detailed angiographic examinations and transcatheter arterial embolization.


METHODS
The study comprises 5 patients: 3 patients with blunt hepatic injury and 2 patients with blunt renal injury. All patients had CT evidence of hepatic injury, respectively renal injury. In one case with hepatic injury, emergency laparotomy was performed before angiography because of unstable circulatory status. DSA-angiography identified the site of bleeding in all patients, followed by selective embolization with particles of TachoComb. Nonsurgical treatment of hepatic or renal injury with transcatheter arterial embolization was successful in all patients.


CONCLUSIONS
Our success rate for nonsurgical management of patients with blunt injury to solid abdominal organs should more extensive evaluation and use of angiography for solid abdominal organs injury and the subsequent management of solid abdominal organs injury without surgery.