Embolization of an Intrahepatic Portal Vein Branch for Control of a Catastrophic Blunt Hepatic Injury.

Authors

Jacob R Stover, Hector Ferral, Bahri Ustunsoz, Alison A Smith, Angelis Vazquez-Perez, Harry Cahill, Andrew Ea, Lance Stuke

Published in

The American surgeon. Pages 31348251381662. Sep 20, 2025. Epub Sep 20, 2025.

Abstract

The treatment of hepatic trauma has evolved greatly in recent decades and has grown to involve interventions by interventional radiology, often via angiography. However, there is a paucity of literature on intrahepatic portal vein embolization for hemorrhage control in a stable trauma, let alone unstable patient. Our patient presented with an injury to a branch of his portal vein that was not amenable to surgical control despite multiple attempts. The massive hemorrhage was able to ultimately be controlled via percutaneous embolization of the portal vein branch by interventional radiology without any post-procedure complications. This marks the first published evidence of this procedure being performed in a hemodynamically unstable patient. This case is a proof of concept for portal vein embolization as a reasonable adjunct to managing injuries which are otherwise not amenable to surgical intervention.

PMID:
40974586
Bibliographic data and abstract were imported from PubMed on 21 Sep 2025.

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