Bile Duct Disruption after Blunt Hepatic Trauma: Treatment with Percutaneous Repair

Intrahepatic arterio-portal fistulas are rare complications of blunt hepatic trauma. We describe a case of a 35-year-old male sustaining blunt abdominal trauma resulting in a grade IV liver injury complicated by arterio-portal fistula, portal venous pseudoaneurysm and concomitant bile duct injury. Although arterial embolisation is the mainstay of treatment for arterio-portal fistula, we describe a rationale for early involvement of a hepatobiliary surgeon for multidisciplinary management. Hepatic resection for acute hepatic trauma can, in selected cases, promptly manage all elements of portal triad injury, and in this particular case facilitated early uncomplicated discharge.

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Nonoperative management of a hepatic trauma with injury of intrahepatic bile duct. Evaluation of biliary injury by computed tomography.

Nihon Kyukyu Igakukai Zasshi ◽

10.3893/jjaam.3.199 ◽

1992 ◽

Vol 3 (4) ◽

pp. 199-203

Author(s):

Atsuyoshi Onitsuka ◽

Naoki Yamada ◽

Hironori Arakawa ◽

Hiroyuki Yasuda

Keyword(s):

Computed Tomography ◽

Bile Duct ◽

Nonoperative Management ◽

Intrahepatic Bile Duct ◽

Biliary Injury ◽

Hepatic Trauma

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Percutaneous Repair of an Iatrogenic Laceration of the Left Bile Duct with a Covered Stent

Journal of Vascular and Interventional Radiology ◽

10.1016/s1051-0443(07)61601-7 ◽

2001 ◽

Vol 12 (9) ◽

pp. 1112-1115 ◽

Cited By ~ 5

Author(s):

Jordi Blasco ◽

M. Isabel Real ◽

Xavier Montañá ◽

Juan Macho ◽

Pedro Arguis ◽

...

Keyword(s):

Bile Duct ◽

Covered Stent ◽

Percutaneous Repair

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Bile duct disruption and biloma after laparoscopic cholecystectomy: imaging evaluation.

American Journal of Roentgenology ◽

10.2214/ajr.158.4.1532111 ◽

1992 ◽

Vol 158 (4) ◽

pp. 785-789 ◽

Cited By ~ 57

Author(s):

A T Walker ◽

A W Shapiro ◽

D C Brooks ◽

J M Braver ◽

S S Tumeh

Keyword(s):

Laparoscopic Cholecystectomy ◽

Bile Duct ◽

Imaging Evaluation ◽

Duct Disruption

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Management of Traumatic Liver and Bile Duct Laceration

Euroasian Journal of Hepato-Gastroenterology ◽

10.5005/jp-journals-10018-1247 ◽

2017 ◽

Vol 7 (2) ◽

pp. 188-190 ◽

Cited By ~ 2

Author(s):

Pankaj Dwivedi ◽

Mukta Waghmare ◽

Hemanshi Shah ◽

Charu Tiwari ◽

Kiran Khedkar

Keyword(s):

Bile Duct ◽

Endoscopic Retrograde Cholangiopancreatography ◽

Blunt Abdominal Trauma ◽

Percutaneous Drainage ◽

Hepatic Duct ◽

Bile Leak ◽

Liver Trauma ◽

High Grade ◽

Hepatic Trauma ◽

Endoscopic Retrograde

ABSTRACT Posttraumatic major bile leak in children is uncommon, with few cases reported in the literature. These injuries are seen in high-grade liver trauma and are difficult to diagnose and manage. We describe a 7-year-old boy with grade IV hepatic trauma and bile leak following blunt abdominal trauma. The leak was successfully managed by percutaneous drainage and endoscopic retrograde cholangiopancreatography (ERCP) stenting of the injured hepatic duct. How to cite this article Tiwari C, Shah H, Waghmare M, Khedkar K, Dwivedi P. Management of Traumatic Liver and Bile Duct Laceration. Euroasian J Hepato-Gastroenterol 2017;7(2):188-190.

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