PMC10196270_01
Focused assessment with sonography in trauma (FAST), postoperative computed tomography (CT), and angioembolization in a patient with a blunt retrohepatic vena cava injury. (A) FAST (Morrison's pouch, no free fluid). (B) FAST (perisplenic free fluid). (C) FAST (pelvic cavity, no free fluid). (D) Postoperative abdominal contrast-enhanced CT. (E,F) Postoperative angioembolization.
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F1
Focused assessment with sonography in trauma revealed a large amount of free fluid in the perisplenic area (Figure 1). Subsequently, embolization was performed using a coil and glue (Figure 1).
Flow of resuscitation from the accident site to the operating room for a patient with a blunt retrohepatic vena cava injury.
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F2
The chronological resuscitation process is shown in Figure 2.
Total hepatic vascular isolation and atriocaval shunt placement via a transdiaphragmatic incision in a patient with a blunt retrohepatic vena cava injury. (A) Transdiaphragmatic incision and intrapericardial vena cava snaring. (B) Suprarenal vena cava snaring. (C) Pringle maneuver.
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F3
Simultaneously, total hepatic vascular isolation and liver mobilization were performed by clamping the porta hepatis using the Pringle maneuver (Figure 3).