Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury

We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking throug...

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Detalles Bibliográficos
Autores principales: Ratan, Simmi K, Gangurde, Anita, Sinha, Shandip K, Singh, Sudhir, Sharma, Barjesh Chander, Aggarwal, Satish K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EL-MED-Pub 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863827/
https://www.ncbi.nlm.nih.gov/pubmed/24381834
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author Ratan, Simmi K
Gangurde, Anita
Sinha, Shandip K
Singh, Sudhir
Sharma, Barjesh Chander
Aggarwal, Satish K
author_facet Ratan, Simmi K
Gangurde, Anita
Sinha, Shandip K
Singh, Sudhir
Sharma, Barjesh Chander
Aggarwal, Satish K
author_sort Ratan, Simmi K
collection PubMed
description We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking through a rent in the major right intra-hepatic duct at the apex of liver laceration. A pedicled onlay omental flap was used to buttress this rent as direct closure was not possible due to friable tissue. The child recovered uneventfully.
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spelling pubmed-38638272013-12-31 Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury Ratan, Simmi K Gangurde, Anita Sinha, Shandip K Singh, Sudhir Sharma, Barjesh Chander Aggarwal, Satish K APSP J Case Rep Case Report We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking through a rent in the major right intra-hepatic duct at the apex of liver laceration. A pedicled onlay omental flap was used to buttress this rent as direct closure was not possible due to friable tissue. The child recovered uneventfully. EL-MED-Pub 2013-10-16 /pmc/articles/PMC3863827/ /pubmed/24381834 Text en Copyright © 2013 Ratan et al http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ratan, Simmi K
Gangurde, Anita
Sinha, Shandip K
Singh, Sudhir
Sharma, Barjesh Chander
Aggarwal, Satish K
Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury
title Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury
title_full Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury
title_fullStr Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury
title_full_unstemmed Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury
title_short Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury
title_sort pedicled omental onlay flap for post-traumatic intrahepatic major ductal injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863827/
https://www.ncbi.nlm.nih.gov/pubmed/24381834
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