Successful Angioembolization of a Stable Grade 4 Liver Injury

Shogeta Ramanathan; Ikhwan Sani Mohamad; Mohammad Zawawi Ya’acob; Rosnelifaizur Ramely; Zhan Huai Teoh; Chandran Nadarajan

doi:10.18502/acta.v60i4.9272

Shogeta Ramanathan Department of Surgery, Hospital Universiti Sains Malaysia, Kubang, Kerian, Kelantan, Malaysia
Ikhwan Sani Mohamad Department of Surgery, Hospital Universiti Sains Malaysia, Kubang, Kerian, Kelantan, Malaysia
Mohammad Zawawi Ya’acob Department of Surgery, Hospital Universiti Sains Malaysia, Kubang, Kerian, Kelantan, Malaysia
Rosnelifaizur Ramely Department of Surgery, Hospital Universiti Sains Malaysia, Kubang, Kerian, Kelantan, Malaysia
Zhan Huai Teoh Department of Surgery, Hospital Universiti Sains Malaysia, Kubang, Kerian, Kelantan, Malaysia
Chandran Nadarajan Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

DOI: https://doi.org/10.18502/acta.v60i4.9272

Keywords: Trauma; Liver injury; Embolization

Abstract

Traumatic liver injury can be classified by grading using American Association with Surgery Trauma (AAST). We presented a case of a 22-year-old female who had a motor vehicle accident and sustained a stable Grade 4 liver injury. An angioembolization was performed by the interventional radiologist team, which successfully occluded all the extravasation of the bleed. If the patient is hemodynamically stable in high grade or bleeding liver injury, a non-invasive technique such as angioembolization could be practiced at the bleeding site to minimize or stop the bleeding.