PMC7229414_01
Enhanced CT one hour after admission.. a) AAST Grade 4 liver injury. b) Fluid collection was observed in Morison's pouch.
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Contrast-enhanced CT revealed extravasation in the middle hepatic lobe associated with hemoperitoneum (Fig. 1).
Angiography of the hepatic artery.. a) Common hepatic arteriography showed no obvious bleeding points.. b) Selective angiography of the left hepatic artery suggested bleeding from A4.
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Since selective embolization was difficult anatomically, the left hepatic artery was embolized using gelatin sponge particles (Serescue , Nipponkayaku) (Fig. 2).