A minimally invasive approach to bile duct injury after blunt liver trauma in pediatric patients.
نویسندگان
چکیده
A 12-year-old boy presented with a large liver laceration after blunt abdominal trauma. He was treated nonoperatively and subsequently had bile peritonitis from a bile leak. Endoscopic retrograde cholangiopancreatography (ERCP) visualized the bile duct injury and allowed decompression of the biliary tree with an endoscopically placed biliary stent. A drain also was placed over the laceration through a small subcostal incision. The patient recovered rapidly after this minimally invasive procedure and went home 9 days later.
منابع مشابه
Traumatic bile leaks from blunt liver injury in children: a multidisciplinary and minimally invasive approach to management.
BACKGROUND Selective non-operative management (NOM) of hemodynamically stable pediatric patients with blunt hepatic trauma is the standard of care. Traumatic bile leaks (TBL) are a potential complication following liver injury. The use of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and treatment of TBL is described in adults, but limited in the pediatric literature. W...
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Bile duct injury following blunt liver injury is rare, and the precise site of bile leakage is often difficult to identify with noninvasive techniques. Endoscopic retrograde cholangiopancreatography is being used increasingly more often in the evaluation and management of biliary disorders in children. However, it is invasive and often requires general anesthesia in children. Drip infusion chol...
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BACKGROUND Nonoperative management of blunt pediatric liver injuries has become the standard of care in the absence of hemodynamic instability. However, associated bile duct injuries remain as difficult challenges. Few case reports have demonstrated the benefits of conservative approaches, but others have found better outcomes with surgical intervention. In this study, we report on our experien...
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ورودعنوان ژورنال:
- Journal of pediatric surgery
دوره 37 5 شماره
صفحات -
تاریخ انتشار 2002