Successful embolization of mesenteric hematoma following blunt trauma: A case report

TL;DR

A 70-year-old man with a mesenteric hematoma from blunt trauma was successfully treated with a non-surgical embolization procedure.

Contribution

This case report demonstrates the effectiveness of transcatheter arterial embolization in managing mesenteric hematoma without surgery.

Findings

Transcatheter arterial embolization successfully treated an isolated mesenteric hematoma.

Early diagnosis and intervention prevented bowel ischemia and avoided invasive surgery.

The patient remained hemodynamically stable throughout the treatment process.

Abstract

Mesenteric injuries are rare, occurring in approximately 1% of all blunt trauma cases. Herein, we report the case of a man in his 70s who sustained an isolated mesenteric hematoma following blunt abdominal trauma from a detached tire. The hematoma was successfully managed with transcatheter arterial embolization (TAE), avoiding the need for invasive surgery and preventing bowel ischemia. This case highlights the importance of early diagnosis and prompt intervention with TAE in hemodynamically stable patients with mesenteric injuries.

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