Traumatic Rupture of the Hepatic Duct Demonstrated by Endoscopic Retrograde Cholangiography
作者:
K. JONES,
EAPEN THOMAS,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1985)
卷期:
Volume 25,
issue 5
页码: 448-449
ISSN:0022-5282
年代: 1985
出版商: OVID
数据来源: OVID
摘要:
Persistent jaundice and abdominal distention were noted postoperatively in a 37-year-old white male who had undergone splenectomy and suture of a liver laceration following a motorcycle accident. Abdominal paracentesis yielded bile-stained fluid. Endoscopic retrograde cholangiography (ERC) demonstrated rupture of the hepatic duct at its bifurcation which had been missed on initial laparotomy. ERC was valuable in planning and subsequently performing a hepatojejunostomy. We found no previous report of using ERC to diagnose and locate a missed bile duct injury.
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