array:24 [
  "pii" => "S2173572722002934"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.10.009"
  "estado" => "S300"
  "fechaPublicacion" => "2023-04-01"
  "aid" => "1670"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2023;47:244-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569121001054"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2021.04.009"
      "estado" => "S300"
      "fechaPublicacion" => "2023-04-01"
      "aid" => "1670"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2023;47:244-5"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Embolizaci&#243;n de hemorragia suprarrenal en paciente politraumatizada"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "244"
            "paginaFinal" => "245"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Transarterial embolization in a case of post-traumatic adrenal hemorrhage"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 918
                "Ancho" => 1505
                "Tamanyo" => 184133
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "L&#46;I&#46; Perez-Sanchez, N&#46; Mamolar Herrera, J&#46;J&#46; Velasco G&#243;mez"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "L&#46;I&#46;"
                "apellidos" => "Perez-Sanchez"
              ]
              1 => array:2 [
                "nombre" => "N&#46;"
                "apellidos" => "Mamolar Herrera"
              ]
              2 => array:2 [
                "nombre" => "J&#46;J&#46;"
                "apellidos" => "Velasco G&#243;mez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572722002934"
          "doi" => "10.1016/j.medine.2022.10.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002934?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121001054?idApp=WMIE"
      "url" => "/02105691/0000004700000004/v1_202303262134/S0210569121001054/v1_202303262134/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173572722002831"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2021.03.006"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "1652"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:246-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Wellens Syndrome&#58; Be aware of T wave inversion"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "246"
          "paginaFinal" => "247"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "S&#237;ndrome de Wellens&#58; tenga en cuenta la inversi&#243;n de onda T"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2077
              "Ancho" => 1518
              "Tamanyo" => 524579
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;C&#46; Mart&#237;nez-&#193;vila, C&#46;I&#46; Herrera-Arrieta, Z&#46;M&#46; Mondol-Almeida"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "Mart&#237;nez-&#193;vila"
            ]
            1 => array:2 [
              "nombre" => "C&#46;I&#46;"
              "apellidos" => "Herrera-Arrieta"
            ]
            2 => array:2 [
              "nombre" => "Z&#46;M&#46;"
              "apellidos" => "Mondol-Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002831?idApp=WMIE"
    "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722002831/v1_202303262126/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572722001497"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.07.001"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "1673"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:243"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Fibrinolytic treatment with tissue plasminogen activator in a patient with massive pulmonary thromboembolism and bidirectional Glenn procedure"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "243"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Tratamiento fibrinol&#237;tico con activador tisular del plasmin&#243;geno en paciente con tromboembolismo pulmonar masivo y trombosis de la anastomosis de Glenn"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Fig&#46; 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 918
              "Ancho" => 1262
              "Tamanyo" => 100533
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0010"
              "detalle" => "Fig&#46; "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Cuervas-Mons Tejedor, J&#46;D&#46; L&#243;pez Castilla, E&#46; S&#225;nchez Valderr&#225;banos"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Cuervas-Mons Tejedor"
            ]
            1 => array:2 [
              "nombre" => "J&#46;D&#46;"
              "apellidos" => "L&#243;pez Castilla"
            ]
            2 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "S&#225;nchez Valderr&#225;banos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S021056912100111X"
        "doi" => "10.1016/j.medin.2021.05.006"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056912100111X?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001497?idApp=WMIE"
    "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722001497/v1_202303262126/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Transarterial embolization in a case of post-traumatic adrenal hemorrhage"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "244"
        "paginaFinal" => "245"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "L&#46;I&#46; Perez-Sanchez, N&#46; Mamolar Herrera, J&#46;J&#46; Velasco G&#243;mez"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "L&#46;I&#46;"
            "apellidos" => "Perez-Sanchez"
            "email" => array:1 [
              0 => "lorenzoips@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "N&#46;"
            "apellidos" => "Mamolar Herrera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;J&#46;"
            "apellidos" => "Velasco G&#243;mez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Radiolog&#237;a&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Embolizaci&#243;n de hemorragia suprarrenal en paciente politraumatizada"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1538
            "Ancho" => 2515
            "Tamanyo" => 382579
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a polytraumatized 57-year-old woman after falling from a seventh floor&#46; When found the patient&#8217;s GCS was 13&#46; A body CT scan reveals the presence of a SAH at the sulci of both temporal lobes&#44; humerus proximal fracture&#44; and multiple non-displaced rib fractures&#46; Also&#44; a localized hematoma of 7&#8239;cm in diameter is found in the right suprarenal region &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#44; yellow circle&#41;&#46; Also&#44; the CT scan reveals a thin fat plane of separation with the liver&#44; diaphragmatic pillar&#44; pancreas&#44; and kidney&#46; In the arterial phase active extravasation of contrast is seen &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; yellow arrow&#41; consistent with an arterial hemorrhage&#46; The preservation of a fat plane between the hematoma and the structures surrounding the suprarenal region &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#44; yellow circle&#41; facilitated finding of the origin of bleeding&#46; Previous knowledge through the CT scan of the probable vessel damaged shortens the necessary time to perform selective angiography and further embolization of the lesion &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#44; yellow arrow&#41;&#46; The right suprarenal artery was embolized with Glubran&#174; 2&#8239;&#43;&#8239;lipiodol &#40;dilution 1&#58;2&#41;&#44; which confirmed its complete occlusion and the absence of bleeding in the final angiographic control &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>E&#44; yellow arrow&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1538
            "Ancho" => 2515
            "Tamanyo" => 382579
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722002934/v1_202303262126/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "64602"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Intensive Medicine"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004700000004/v1_202303262126/S2173572722002934/v1_202303262126/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002934?idApp=WMIE"
]
Share
Journal Information
Vol. 47. Issue 4.
Pages 244-245 (April 2023)
Vol. 47. Issue 4.
Pages 244-245 (April 2023)
Images in Intensive Medicine
Full text access
Transarterial embolization in a case of post-traumatic adrenal hemorrhage
Embolización de hemorragia suprarrenal en paciente politraumatizada
Visits
1251
L.I. Perez-Sancheza,
Corresponding author
lorenzoips@gmail.com

Corresponding author.
, N. Mamolar Herrerab, J.J. Velasco Gómeza
a Servicio de Radiología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
b Servicio de Medicina Intensiva, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

This is the case of a polytraumatized 57-year-old woman after falling from a seventh floor. When found the patient’s GCS was 13. A body CT scan reveals the presence of a SAH at the sulci of both temporal lobes, humerus proximal fracture, and multiple non-displaced rib fractures. Also, a localized hematoma of 7 cm in diameter is found in the right suprarenal region (Fig. 1A, yellow circle). Also, the CT scan reveals a thin fat plane of separation with the liver, diaphragmatic pillar, pancreas, and kidney. In the arterial phase active extravasation of contrast is seen (Fig. 1B, yellow arrow) consistent with an arterial hemorrhage. The preservation of a fat plane between the hematoma and the structures surrounding the suprarenal region (Fig. 1C, yellow circle) facilitated finding of the origin of bleeding. Previous knowledge through the CT scan of the probable vessel damaged shortens the necessary time to perform selective angiography and further embolization of the lesion (Fig. 1D, yellow arrow). The right suprarenal artery was embolized with Glubran® 2 + lipiodol (dilution 1:2), which confirmed its complete occlusion and the absence of bleeding in the final angiographic control (Fig. 1E, yellow arrow).

Figure 1
(0.36MB).
Copyright © 2021. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?