Blunt splenic injury in a child with situs inversus totalis treated with transcatheter arterial embolization

• Main Authors: Naoki Hashizume, Kimio Asagiri, Naoko Komatsuzaki, Suguru Fukahori, Shinji Ishii, Nobuyuki Saikusa, Naruki Higashidate, Motomu Yoshida, Saki Sakamoto, Hirotomo Nakahara, Yoshihiko Konoike, Kojiro Nagai, Shigeo Shimose, Takashi Niizeki, Minoru Yagi
• Format: Article
• Language: English
• Published: Elsevier 2016-10-01
• Series: Journal of Pediatric Surgery Case Reports
• Subjects: Splenic injury; Situs inversus; Transcatheter arterial embolization
• Online Access: http://www.sciencedirect.com/science/article/pii/S2213576616301117

We report the first case of blunt splenic rupture in a child with situs inversus totalis treated with transcatheter arterial embolization (TAE). A 12-year-old girl fell roughly 4 feet onto the pavement while riding her bicycle. Contrast-enhanced computed tomography revealed situs inversus totalis, a massive hemorrhage in the abdominal cavity, and a ruptured spleen with extravasation. Arteriography showed that the internal organs were located opposite their normal positioning. TAE was carried out with gelfoam and a micro coils at the branch of the upper lobe of the splenic artery. TAE is effective for blunt splenic injury with extravasation in a child with situs inversus. In TAE, there is no technical difference about situs inversus excepted mirror image of abdominal vascular formation.