Bicycle handlebar injury in a child resulting in complex liver laceration with massive bleeding and bile leakage: A case report

The small intestine is the third in frequency intraperitoneal organ which is injured after blunt trauma of the abdomen. In most of the cases, this type of injuries is accompanied by other injuries, which make it more difficult to diagnose. Failure of diagnosis and delay in treating these injuries significantly increase the morbidity and mortality of these patients. Abdominal visceral injuries after flipping the handlebar of the bike are common in children. Such injuries can cause injury to both solid and hollow abdominal viscera. Unlike children, adults’ abdominal visceral injuries after flipping the bike’s handlebar are extremely rare. A 25-year-old man was admitted to our department due to progressively abdominal pain after an accident with the handlebar of his bike. The subsequent CT scan after per os administration of contrast medium revealed the presence of free intraperitoneal contrast. It is a rare case of jejunal perforation after flipping the handlebar of the bicycle which was treated by partial removal of the injured part of jejunum and end-to-end anastomosis. To the best of our knowledge this is the first time we describe such an injury with this mechanism to an adult.

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Massive Bleeding Caused by Rupture of Intra-abdominal Testicular Seminoma: Case Report

Journal of Trauma and Acute Care Surgery ◽

10.1097/00005373-200205000-00030 ◽

2002 ◽

Vol 52 (5) ◽

pp. 1000-1001 ◽

Cited By ~ 2

Author(s):

Hasan Fehmi Küçük ◽

Gülay Dalkiliç ◽

Erol Kuroğlu ◽

Mehmet Altuntaş ◽

Nagehan Özdemir Barişik ◽

...

Keyword(s):

Case Report ◽

Massive Bleeding ◽

Testicular Seminoma

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Jejunal Perforation as a Result of Massive Gastrointestinal Bleeding from a Duodenal Ulcer

Scottish Medical Journal ◽

10.1177/003693308402900209 ◽

1984 ◽

Vol 29 (2) ◽

pp. 109-110

Author(s):

J. N. Fox ◽

J. W. W. Thomson

Keyword(s):

Duodenal Ulcer ◽

Small Intestine ◽

Case Report ◽

Gastrointestinal Bleeding ◽

Upper Gastrointestinal Bleeding ◽

Massive Bleeding ◽

Spontaneous Perforation ◽

Massive Gastrointestinal Bleeding ◽

Upper Gastrointestinal

A complication of massive upper gastrointestinal bleeding is presented as a case report of a patient who developed a spontaneous perforation of the small intestine as a result of massive bleeding from a duodenal ulcer

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Intraoperative Treatment of Duct of Luschka during Laparoscopic Cholecystectomy: A Case Report and Revision of Literature

Case Reports in Surgery ◽

10.1155/2018/9813489 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Luigi Masoni ◽

Leandro Landi ◽

Riccardo Maglio

Keyword(s):

Case Report ◽

Bile Leak ◽

Bile Leakage ◽

Medical Systems ◽

Invasive Treatment ◽

Endoscopic Clip ◽

First Case ◽

Duct Of Luschka ◽

Clinically Significant

Background. Bile leakage still remains a serious complication during cholecystectomies. In limited cases, this complication may occur from injury of the so-called ducts of Luschka. These rare ducts are usually discovered intraoperatively, and their presence poses the risk of bile injury and clinically significant bile leak. Presentation Case. We present a unique case of a 59-year-old male patient with acute cholecystitis. After removal of the gallbladder, thorough inspection of the hepatic bed was made and a little bile leak was identified from a duct of Luschka 1 cm away from the gallbladder hilum. We report on the use of endoscopic QuickClip Pro® clips (Olympus Medical Systems Corp., Tokyo, Japan) to avoid further more invasive treatment. Discussion. Endoscopic retrograde cholangiopancreatography with sphincterotomy played a crucial role for diagnosis and treatment of bile leaks with success rate near 94%. Many authors have argued the role of relaparoscopy, Diagnosis may be intraoperatively but this option does not seem to occur very often; in fact, there is a lack of data in literature. Conclusion. This is the first case report of bile leak from duct of Luschka treated during the cholecystectomies with endoscopic clip.

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