A rare case of hepatic duct injury from blunt abdominal trauma
Year: 2013
Type: article
Study design: Case Report
Abstract: BACKGROUND: A 25 year-old male was brought to the emergency room following an apparent suicide attempt by jumping from the fourth floor. CASE REPORT: Patient had a large abdominal laceration in the right upper quadrant (RUQ). CT scan showed a sub-scapular hematoma of the liver. Due to the repeated episodes of hypotension, a laporotomy was performed and the left hepatic artery was ligated while the ductal injury was managed with a Roux-en-Y left hepatic jejunostomy and stent. Bile leakage was resolved post-operatively by day 5 and the patient was discharged home on day 13 after clearance from psychiatry. CONCLUSIONS: While non-iatrogenic extrahepatic biliary trauma is rare, a high degree of suspicion is essential, especially in cases like the one discussed in this report. Diagnosis can be difficult in patients undergoing observation.
Source: American Journal of Case Reports
DOI: 10.12659/ajcr.883881
Author: Joseph J. McNamara
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2127247136