LAUSR

T he authors present the management of a significant liver injury associated with blunt celiac artery occlusion. They appropriately chose an endovascular solution to major liver hemorrhage and nonoperative management of the celiac artery injury, which used accurate computed tomography imaging of collateral flow from the super mesenteric to the distal branches of the celiac axis. Although total celiac artery occlusion occurred, it was followed by early recanalization and restoration of antegrade flow. This interesting management challenge highlights the advantages of effective early high-resolution imaging, appropriate use of catheter based hemorrhage control techniques, and achieving the goal of avoiding unnecessary and at times dangerous open surgery for major liver injuries.