Avoidance of ‘Mishra Phenomenon’ Prevents Technical Failure of Hepatic Artery Angioembolization following Failed Perihepatic Packing in Traumatic Liver Injury
Journal Title: Bulletin of Emergency And Trauma - Year 2017, Vol 5, Issue 2
Abstract
Dear Editor, Ours is a level I Trauma Center. During the initial phase of our angiography facility around seven years ago, we encountered two adult male patients (patient 1: 50yr/male, May 2009, and patient 2: 18yr/male, January 2010) with hemorrhagic shock secondary to road traffic injury (RTI) and they underwent exploratory laparotomy. Damage control surgery (DCS) was done in the form of perihepatic packing (PHP) for bleeding liver (grade IV injury). Both patients continued to bleed and therefore were taken to angiography suit for hepatic angiography and angioembolization (HAAE)
Authors and Affiliations
Biplab Mishra, Mohit Joshi
Keywords
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