| Autor: |
Bachellier Philippe, Collange Olivier, Oussoultzoglou Elie, Rosso Edoardo, Marzano Ettore, Pessaux Patrick |
| Jazyk: |
angličtina |
| Rok vydání: |
2010 |
| Předmět: |
|
| Zdroj: |
World Journal of Emergency Surgery, Vol 5, Iss 1, p 26 (2010) |
| Druh dokumentu: |
article |
| ISSN: |
1749-7922 |
| DOI: |
10.1186/1749-7922-5-26 |
| Popis: |
Abstract Introduction Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In selected cases laparoscopy could be proposed as diagnostic and therapeutic means. Case report A 28 years-old male was admitted in the Emergency Unit following a motor vehicle crash. CT-scan showed an isolated stade II hepatic injury at the level of the segment IV. Firstly a NOM was decided. Laparoscopic exploration was then performed at day 4 due to a biliary peritonitis. Intraoperative trans-cystic duct cholangiography showed a biliary leaks of left hepatic biliary tract, involving sectioral pedicle to segment III. Cholecystectomy, trans-cystic biliary drainage, application of surgical tissue sealing patch and abdominal drainage were performed. Postoperative outcome was uneventful, with fast patient recovery. Conclusion Laparoscopy has gained a role as diagnostic and therapeutic means in treatment of complications following NOM of blunt liver trauma. This approach seems feasible and safety, with satisfactory postoperative outcome. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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