AI Article Synopsis
- Two patients experienced biliary tract injuries and bilomas due to blunt abdominal trauma, requiring emergency surgery due to unstable conditions.
- Postoperative imaging revealed serious liver damage and bilomas, but did not clearly show bile duct injury locations.
- Endoscopic retrograde cholangiography (ERCP) effectively identified the bile duct injuries, which were treated with endobiliary stents, highlighting the importance of these techniques in managing liver trauma-related biliary injuries.
Article Abstract
We report on two patients with biliary tract injury and associated biloma following blunt abdominal trauma. Both patients underwent emergency surgery because of hemodynamic instability and bloody peritoneal aspiration. Computed tomography in the postoperative days showed severe hepatic parenchymal injury and the presence of hypodense collections with intraparenchymal and subcapsular extension, suggestive for biloma, but otherwise failed to demonstrate the exact location of the bile duct injury. One of them underwent temporary percutaneous drainage. Bile duct injury was well demonstrated on endoscopic retrograde cholangiography (ERCP) and treated by endobiliary stent placement. This report advocates the use of ERCP and endobiliary stenting in the management of biliary injury resulting from liver trauma.
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| http://dx.doi.org/10.1007/s003300050598 | DOI Listing |
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Non-iatrogenic traumatic bile duct injuries (NI-TBIs) are a rare complication after abdominal trauma, with an estimated prevalence of 2.8-7.4% in patients underwent blunt liver injuries.
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Gastroenterology and Hepatology, Wake Endoscopy Center, Raleigh, USA.
"Biloma" is a collection of bile outside of the biliary tree that could occur postoperatively in patients who undergo laparoscopic cholecystectomy or in patients with blunt trauma to the liver. Spontaneous or impulsive bilomas with no identifiable cause occur rarely. We report a case of a 60-year-old woman with no history of hepatobiliary surgery or trauma, who was admitted for right upper quadrant pain.
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