• Kubilay Gürünlüoğlu, Canan Ceran, İsmail Okan Yıldırım, Ramazan Kutlu, Kaya Saraç, Turan Yıldız, Ercan Bayrakçı, Aytaç Taşçı, Ahmet Kadir Arslan, and Mehmet Demircan.
• Department of Pediatric Surgery, İnönü University Faculty of Medicine, Turgut Özal Medical Center, Malatya-Turkey.
• Ulus Travma Acil Cer. 2019 May 1; 25 (3): 238-246.

BackgroundKnowledge of the utility of angiographic embolization (AE) in pediatric cases of blunt abdominal solid organ trauma injuries is limited. The current study is an examination of AE as an effective and reliable method to control bleeding in patients with persistent bleeding due to blunt trauma-induced abdominal solid organ injury.MethodsThis was a retrospective examination of patients <17 years of age who had experienced blunt abdominal solid organ injury and who presented at a single institution within 4 years. A statistical analysis of the data was performed.ResultsThe mean length of intensive care unit stay was 4 days for those who underwent embolization (n=11), and the mean length of hospital stay was 12 days. The average pre-AE blood loss, as measured by the decrease in hematocrit (%) from admission to embolization, was -7.33+-5.3% (p<0.001). The average post-AE blood loss, as measured by the change in hematocrit 72 hours post AE, was 2+-0.97% (p>0.05). All of the patients were discharged with a full recovery.ConclusionAE was a safe and effective method to control solid organ hemorrhage in pediatric patients with blunt abdominal injuries.

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