Modern approach to post-traumatic hepatic hematoma – US guided percutaneus drainage
| Autor: | C. Andrei, S. Chiriac, D. Oneţ, D. Chiriac, C. Banciu, D. Claici, V. Dumitraşcu |
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| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | Ultraschall in der Medizin - European Journal of Ultrasound. 29 |
| ISSN: | 1438-8782 0172-4614 |
| DOI: | 10.1055/s-2008-1079911 |
| Popis: | Subcapsular and intraparenchymatous hepatic hematomas (HH) raise special management problems due to parenchymatous associated lesions. Despite intense and rapid liver regeneration, this process is affected by the presence of the bile. Therefore the nonoperative management determines a weak and slow healing. The drainage of the fluid (biliohepatic collection), by surgical hepatostomy or percutaneous drainage, promotes optimal cure. Laparotomy with surgical solutioning of the HH is a method associated with important morbidity and mortality, but percutaneous transhepatic US guided drainage represents a minimal invasive alternative for selected cases. We performed percutaneous US guided drainage in three patients with symptomatic posttraumatic HH, six weeks after the accident. The liquid collections were initially sanguine, then biliary. The punction was followed by the placing of a multiperforated tube with enclosed drainage for a maximum period of 21 days. The evolution proved to be rapidly favorable with complete healing, clinical, imagistic (ultrasonography, computed tomography) and biological, 3 months after the procedure. The study confirms the efficient minimal invasive approach for selected cases of posttraumatic subcapsular HH. |
| Databáze: | OpenAIRE |
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