scholarly journals Endoscopic Treatment of Postoperative External Biliary Fistula in a Patient Operated on for Hepatic Injury Due to Multiple Trauma

1996 ◽  
Vol 3 (1) ◽  
pp. 67-72
Author(s):  
Marco de Monti ◽  
Davide Sonnino ◽  
Marina Gorziglia ◽  
Giorgio Redaelll ◽  
Marcello Scarpis

After surgery for hepatic injury as a result of blunt abdominal trauma from a motorcycle accident, an external biliary fistula developed in a young patient. The authors describe the rapid and complete healing of the fistula by use of a nasobiliary catheter. These findings emphasize the importance of endoscopic operative technique for postoperative and traumatic external biliary fistulas.


2006 ◽  
Vol 63 (5) ◽  
pp. AB299
Author(s):  
Do Hyun Park ◽  
Myung-Hwan Kim ◽  
Sang Soo Lee ◽  
Tae-Nyun Kim ◽  
Hyun-Young Son ◽  
...  


Injury ◽  
2009 ◽  
Vol 40 (9) ◽  
pp. 978-983 ◽  
Author(s):  
Ker-Kan Tan ◽  
Shieh-Ling Bang ◽  
Appasamy Vijayan ◽  
Ming-Terk Chiu


2013 ◽  
Vol 20 (6) ◽  
pp. 337-342
Author(s):  
CH Chang ◽  
HJ Lin ◽  
YY Liao ◽  
FY Chu ◽  
KT Chen


2010 ◽  
Vol 71 (1) ◽  
pp. 186-187
Author(s):  
Rizwan Kibria ◽  
Christopher J. Barde ◽  
Syed A. Ali


2007 ◽  
Vol 102 (3) ◽  
pp. 544-549 ◽  
Author(s):  
Do Hyun Park ◽  
Myung-Hwan Kim ◽  
Tae Nyeun Kim ◽  
Hyun-Young Son ◽  
Tae Yoon Lee ◽  
...  


2007 ◽  
Vol 172 (5) ◽  
pp. 548-550 ◽  
Author(s):  
Sait Bagci ◽  
Ahmet Tuzun ◽  
Ahmet Erdil ◽  
Ahmet Uygun ◽  
Mustafa Gulsen ◽  
...  


2002 ◽  
Vol 37 (3) ◽  
pp. 386-389 ◽  
Author(s):  
David J. Hackam ◽  
Douglas Potoka ◽  
Manuel Meza ◽  
Avrum Pollock ◽  
Mary Gardner ◽  
...  


PEDIATRICS ◽  
1990 ◽  
Vol 86 (1) ◽  
pp. 87-90
Author(s):  
Halim M. Hennes ◽  
Douglas S. Smith ◽  
Kathleen Schneider ◽  
Mary A. Hegenbarth ◽  
Michael A. Duma ◽  
...  

The medical records of 43 hemodynamically stable children with elevated serum transaminase levels (aspartate aminotransferase [AST] and alanine aminotransferase [ALT]) who underwent abdominal computed tomographic (CT) scan for blunt abdominal trauma were reviewed. Nineteen patients (44.2%) had AST levels >450 IU/L and ALT levels >250 IU/L, and 17 of these 19 patients had hepatic injury identified on abdominal CT scan. Of the 43 patients, 25 (58.1%) had AST and ALT levels of less than 450 IU/L and 250 IU/L, respectively, and none of these patients had evidence of hepatic injury on CT scan. Elevated serum transaminase levels (AST >450 IU/L and ALT >250 IU/L) identified all of the patients with hepatic injury visible on abdominal CT scan. The sensitivity and specificity of elevated serum transaminase levels were 100% and 92.3%, respectively, for predicting hepatic injury. It is recommended that hemodynamically stable pediatric patients with blunt abdominal trauma and AST levels >450 IU/L and/or ALT levels >250 IU/L undergo abdominal CT scan to determine the presence and extent of hepatic injury. Children with serum transaminase levels below these values are at decreased risk of liver injury.



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