IR Playbook pp 357-369 | Cite as

Visceral and Solid Organ Trauma

  • Kari J. NelsonEmail author
  • Mitchell Daun


Care for the trauma patient requires a multidisciplinary approach with collaborative involvement between the emergency department, trauma service, interventional radiology (IR), and numerous other surgical subspecialties. IR has an established and integrated role in the non-operative management of trauma patients. Injuries related to abdominal trauma span a wide range of severity with a variety of clinical presentations and radiologic findings. Though traumatic injury to the solid organs of the abdomen historically necessitated surgical management, a significant shift to non-operative strategies has occurred over the past several decades. Non-operative management (NOM) aims for preservation of the affected organ while avoiding morbidity related to major surgery. Transarterial embolization (TAE) for injury to the spleen, liver, and kidney has become an important part of non-operative management in hemodynamically stable patients, achieving hemostasis while preserving viable tissue within the injured organ. Via specific and selective intervention, TAE has also emerged as an important adjunct for management of ongoing hemorrhage in postoperative trauma patients.


Liver trauma Splenic trauma Kidney trauma Laceration Avulsion Shattered organ Trauma embolization Nontarget pancreatic embolization 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Radiological SciencesVascular and Interventional Radiology, University of California, Irvine Medical CenterOrangeUSA
  2. 2.Department of RadiologyUniversity of California, Irvine Medical CenterOrangeUSA

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