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Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma

INTRODUCTION: Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In selected cases laparoscopy could be proposed as diagnostic and therapeutic means...

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Autores principales: Marzano, Ettore, Rosso, Edoardo, Oussoultzoglou, Elie, Collange, Olivier, Bachellier, Philippe, Pessaux, Patrick
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2954929/
https://www.ncbi.nlm.nih.gov/pubmed/20843350
http://dx.doi.org/10.1186/1749-7922-5-26
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author Marzano, Ettore
Rosso, Edoardo
Oussoultzoglou, Elie
Collange, Olivier
Bachellier, Philippe
Pessaux, Patrick
author_facet Marzano, Ettore
Rosso, Edoardo
Oussoultzoglou, Elie
Collange, Olivier
Bachellier, Philippe
Pessaux, Patrick
author_sort Marzano, Ettore
collection PubMed
description INTRODUCTION: Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In selected cases laparoscopy could be proposed as diagnostic and therapeutic means. CASE REPORT: A 28 years-old male was admitted in the Emergency Unit following a motor vehicle crash. CT-scan showed an isolated stade II hepatic injury at the level of the segment IV. Firstly a NOM was decided. Laparoscopic exploration was then performed at day 4 due to a biliary peritonitis. Intraoperative trans-cystic duct cholangiography showed a biliary leaks of left hepatic biliary tract, involving sectioral pedicle to segment III. Cholecystectomy, trans-cystic biliary drainage, application of surgical tissue sealing patch and abdominal drainage were performed. Postoperative outcome was uneventful, with fast patient recovery. CONCLUSION: Laparoscopy has gained a role as diagnostic and therapeutic means in treatment of complications following NOM of blunt liver trauma. This approach seems feasible and safety, with satisfactory postoperative outcome.
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spelling pubmed-29549292010-10-15 Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma Marzano, Ettore Rosso, Edoardo Oussoultzoglou, Elie Collange, Olivier Bachellier, Philippe Pessaux, Patrick World J Emerg Surg Case Report INTRODUCTION: Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In selected cases laparoscopy could be proposed as diagnostic and therapeutic means. CASE REPORT: A 28 years-old male was admitted in the Emergency Unit following a motor vehicle crash. CT-scan showed an isolated stade II hepatic injury at the level of the segment IV. Firstly a NOM was decided. Laparoscopic exploration was then performed at day 4 due to a biliary peritonitis. Intraoperative trans-cystic duct cholangiography showed a biliary leaks of left hepatic biliary tract, involving sectioral pedicle to segment III. Cholecystectomy, trans-cystic biliary drainage, application of surgical tissue sealing patch and abdominal drainage were performed. Postoperative outcome was uneventful, with fast patient recovery. CONCLUSION: Laparoscopy has gained a role as diagnostic and therapeutic means in treatment of complications following NOM of blunt liver trauma. This approach seems feasible and safety, with satisfactory postoperative outcome. BioMed Central 2010-09-15 /pmc/articles/PMC2954929/ /pubmed/20843350 http://dx.doi.org/10.1186/1749-7922-5-26 Text en Copyright ©2010 Marzano et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Marzano, Ettore
Rosso, Edoardo
Oussoultzoglou, Elie
Collange, Olivier
Bachellier, Philippe
Pessaux, Patrick
Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
title Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
title_full Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
title_fullStr Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
title_full_unstemmed Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
title_short Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
title_sort laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2954929/
https://www.ncbi.nlm.nih.gov/pubmed/20843350
http://dx.doi.org/10.1186/1749-7922-5-26
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