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Dergiler / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 1

Delayed diagnosis and successful management of completely transected common hepatic duct in a blunt multitrauma patient

Mehmet Köstek
Özgür Bostancı
Tayfun Bilgiç
Muharrem Battal
Sayfa
116–119
Yayın Tarihi
2022-11-06
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Extent of the injury is unique for every patient and technical aspect of repair can be challenging.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Extrahepatic bile duct injuries are very uncommon and easily be missed in multitrauma patients.
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Temel Bulgular & Veri:In unstable patients, damage control surgery can be applied.A 32-year-old male patient was brought to the emergency department after a beating that includes multiple blunt trauma.
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Sonuç & Katkı:Extent of the injury is unique for every patient and technical aspect of repair can be challenging.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Extrahepatic bile duct injuries are very uncommon and easily be missed in multitrauma patients. Patients suffer from bile duct injuries need special approach to this situation. In this report, a case with total transection of common hepatic duct and treatment approach was presented. In unstable patients, damage control surgery can be applied.A 32-year-old male patient was brought to the emergency department after a beating that includes multiple blunt trauma. Radiological screening showed cranial, nasal, lumbar vertebral, and cos- tal bone fractures, decreased blood flow to the right kidney and free perihepatic and perisplenic fluid. Neurosurgeons operated this patient at the day of admission and no plan for laparotomy was made for this patient at that time. Second day postoperatively patient was transferred to the department of surgery and exploratory laparotomy has been made. Common hepatic duct was fully transected and because of the patient’s hemodynamic instability, an external fistula has been made.The patient discharged 10th day postoperatively. The patient was operated after follow-up and a Roux-en-y hepaticojejunostomy has been made. Extrahepatic bile duct injuries are rare and high suspicion is important in complex multitrauma patients. Extent of the injury is unique for every patient and technical aspect of repair can be challenging.

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Bu Makaleye Atıf Yap

Köstek, M., Bostancı, Ö., Bilgiç, T., Battal, M. (2022). Delayed diagnosis and successful management of completely transected common hepatic duct in a blunt multitrauma patient. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 1, 116–119. https://ajindex.com/articles/644062

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Kaynakça (12)

  1. Jain S, Jain A, Shrivastava SK. Isolated common bile duct avulsion fol- lowing blunt abdominal trauma. Indian J Surg 2013;75:199–200
  2. Balzarotti R, Cimbanassi S, Chiara O, Zabbialini G, Smadja C. Isolated extrahepatic bile duct rupture: A rare consequence of blunt abdominal trauma. Case report and review of the literature. World J Emerg Surg 2012;7:16
  3. Sanford Z, Abdolmaali K, Robinson D, Denning D, Blunt trauma: An uncommon cause of common bile duct injury. Trauma Case Rep 2015;1:44–8
  4. Zago TM, Pereira BM, Calderan TR, Hirano ES, Fraga GP. Extrahepat- ic duct injury in blunt trauma: Two case reports and a literature review. Indian J Surg 2014;76:303–7
  5. Mohan H, Beddy D, Latif A, Bangash T, Quill D, Traynor O. The“flying” bile duct: Avulsion of the common bile duct in a plane crash survivor. Ir J Med Sci 2009;178:523–5
  6. Ramia JM, Gutierrez G, Garrote G, Mansilla A, Villar J, Ferron JA. Iso- lated extrahepatic bile duct rupture in blunt abdominal trauma. Am J Emerg Med 2005;23:231–2
  7. Hasaniya NW, Premaratne S, Premaratne ID, McNamara JJ. A rare case of hepatic duct injury from blunt abdominal trauma. Am J Case Rep 2013;14:106–8
  8. Pulat H, Karakose O, Benzin MF, Sabuncuoglu MZ, Cetin R. A rare cause of acute abdomen: Spontaneous common hepatic duct perforation. Ulus Travma Acil Cerrahi Derg 2016;22:103–5
  9. Melton SM, McGwin G, Cross JM, Davidson J, Waller H, Doss MW, et al. Common bile duct transection in blunt abdominal trauma: Case report emphasizing mechanism of injury and therapeutic management. J Trauma 2003;54:781–5
  10. Fletcher WS. Nonpenetrating trauma to the gallbladder and extrahepatic bile ducts. Surg Clin North Am 1972;52:711–7
  11. Garge S, Lakshmi Narasimhan K, Verma S, Sekhon V. Hepatic duct confluence injury in blunt abdominal trauma-a diagnostic dilemma. Ulus Travma Acil Cerrahi Derg 2013;19:480–4
  12. Thomson BN, Nardino B, Gumm K, Robertson AJ, Knowles BP, Collier NA, et al. Management of blunt and penetrating biliary tract trauma. J Trauma Acute Care Surg 2012;72:e318248.