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Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report
Traumatic injuries to the extra-hepatic biliary tract are uncommon and may be suspected intraoperatively by the presence of bile-stained fluid in the subhepatic area. We present a case of injury to the common bile duct in a polytrauma patient. The initial CT scan did not suggest biliary injury. Howe...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9170451/ https://www.ncbi.nlm.nih.gov/pubmed/35686195 http://dx.doi.org/10.7759/cureus.25662 |
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author | Ghosh, Shaurav Kazi, Farah Naaz Sharma, J V Pranav |
author_facet | Ghosh, Shaurav Kazi, Farah Naaz Sharma, J V Pranav |
author_sort | Ghosh, Shaurav |
collection | PubMed |
description | Traumatic injuries to the extra-hepatic biliary tract are uncommon and may be suspected intraoperatively by the presence of bile-stained fluid in the subhepatic area. We present a case of injury to the common bile duct in a polytrauma patient. The initial CT scan did not suggest biliary injury. However, intraoperatively, bile-stained fluid in the subhepatic space raised suspicion of bile duct injury. This was confirmed postoperatively in the development of a biliary fistula after the primary laparotomy. The patient was treated by endoscopic biliary stenting with complete resolution of the fistula. |
format | Online Article Text |
id | pubmed-9170451 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-91704512022-06-08 Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report Ghosh, Shaurav Kazi, Farah Naaz Sharma, J V Pranav Cureus Emergency Medicine Traumatic injuries to the extra-hepatic biliary tract are uncommon and may be suspected intraoperatively by the presence of bile-stained fluid in the subhepatic area. We present a case of injury to the common bile duct in a polytrauma patient. The initial CT scan did not suggest biliary injury. However, intraoperatively, bile-stained fluid in the subhepatic space raised suspicion of bile duct injury. This was confirmed postoperatively in the development of a biliary fistula after the primary laparotomy. The patient was treated by endoscopic biliary stenting with complete resolution of the fistula. Cureus 2022-06-04 /pmc/articles/PMC9170451/ /pubmed/35686195 http://dx.doi.org/10.7759/cureus.25662 Text en Copyright © 2022, Ghosh et al. https://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 author and source are credited. |
spellingShingle | Emergency Medicine Ghosh, Shaurav Kazi, Farah Naaz Sharma, J V Pranav Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report |
title | Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report |
title_full | Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report |
title_fullStr | Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report |
title_full_unstemmed | Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report |
title_short | Extrahepatic Bile Duct Injury Caused by Blunt Abdomen Trauma: A Case Report |
title_sort | extrahepatic bile duct injury caused by blunt abdomen trauma: a case report |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9170451/ https://www.ncbi.nlm.nih.gov/pubmed/35686195 http://dx.doi.org/10.7759/cureus.25662 |
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