Crushed Confluence with Significant Tissue Loss: A Case Report of a Rare Biliary Tract Injury following Blunt Trauma Abdomen
| Autor: | Omema Saleem, Jahanzaib Haider, Shams Nadeem Alam, Humaid Ahmad, Rasheeqa Mahmood |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Significant tissue loss grade iv liver injury 030204 cardiovascular system & hematology Anastomosis Trauma 03 medical and health sciences 0302 clinical medicine medicine Extrahepatic biliary tract polytrauma traumatic biliary tract injuries Liver injury road traffic accident business.industry General Engineering medicine.disease Polytrauma Surgery medicine.anatomical_structure Blunt trauma Biliary tract General Surgery biliary confluence injuries biliary-enteric anastomoses Abdomen Other business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.5235 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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