Crushed Confluence with Significant Tissue Loss: A Case Report of a Rare Biliary Tract Injury following Blunt Trauma Abdomen.
biliary confluence injuries
biliary-enteric anastomoses
grade iv liver injury
polytrauma
road traffic accident
traumatic biliary tract injuries
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
25 Jul 2019
25 Jul 2019
Historique:
entrez:
1
10
2019
pubmed:
1
10
2019
medline:
1
10
2019
Statut:
epublish
Résumé
Traumatic extrahepatic biliary tract injuries are rare occurrences because they are a relatively small target of injury following trauma. They are almost always associated with injuries to surrounding structures, which take precedence during initial management. The management of extrahepatic biliary tract injuries depends on the extent and level of the injury. This may include primary repair to high-level biliary-enteric anastomoses. We report a case of injury to the biliary confluence that occurred after blunt trauma abdomen. The injury was associated with an extensive liver injury that was the focus of initial treatment. We discuss the possible mechanisms that led to injury of this relatively hidden area and describe the various treatment options that can be applicable in such cases.
Identifiants
pubmed: 31565635
doi: 10.7759/cureus.5235
pmc: PMC6758956
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e5235Informations de copyright
Copyright © 2019, Ahmad et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
World J Gastrointest Surg. 2015 Oct 27;7(10):254-60
pubmed: 26527428
Indian J Surg. 2014 Aug;76(4):303-7
pubmed: 25278655
World J Surg. 2001 Oct;25(10):1313-6
pubmed: 11596896
Aust N Z J Surg. 1999 Nov;69(11):816-20
pubmed: 10553973
Eur J Trauma Emerg Surg. 2008 Dec;34(6):595-600
pubmed: 26816286
Case Rep Surg. 2012;2012:254563
pubmed: 22830067
HPB (Oxford). 2008;10(2):72-6
pubmed: 18773059