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case_images: A contrast-enhanced computed tomography scan at the local hospital. (A, C) Arterial phase axial images. (B, D) Venous phase axial images. Computed tomography images revealed the massive contrast extravasation in the liver from the arterial phase to the equilibrium phase (white arrows). (E, F) Arterial phase coronal images. Computed tomography images show the thoracic descending aortic and left common femoral aortic diameters. (G, H) Chest computed tomography images show minor right pneumothorax (white arrowheads).
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case_images: Trauma Organ Injury Scale) with massive intraperitoneal contrast extravasation (Figure 1). An emergency trauma surgery was unavailable at the local hospital. Therefore, the patient was transported after undergoing
case_images: A progression chart from the patient's transportation to the local hospital after the injury to her transportation to our hospital for treatment. ABG, arterial blood gas; BT, body temperature; CT, computed tomography; DCS, damage control surgery; EMS, emergency medical service; FFP, fresh frozen plasma; HR, heart rate; RBC, red blood cells; REBOA, resuscitative endovascular balloon occlusion of the aorta; sBP, systolic blood pressure; TAE, transcatheter arterial embolization.
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case_images: The vital signs, REBOA inflation volume, transfusion volume, arterial blood gas, and procedures performed before intensive care unit admission are shown in Figure 2.
case_images: Surgical images of the liver in our hospital. (A) The image demonstrating complex liver laceration in the right lobe. (B) The image demonstrating the liver after hepatic suturing and omental packing.
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case_images: She underwent hepatic suturing and omental packing for the liver laceration at a second-look laparotomy on the following day (Figure 3).