Diagnosis and nonsurgical management of bile leak complicated by biloma after blunt liver injury: report of two cases
Diagnosis and nonsurgical management of bile leak complicated by biloma after blunt liver injury: report of two cases
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DOI：
10.1007/s003300050598
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发表时间：
1998-01-01
影响因子：
5.9
通讯作者：
Vaneerdeweg, W
中科院分区：
文献类型：
--
作者：
De Backer, A;Fierens, H;Vaneerdeweg, W
我们报告了两名腹部钝性创伤后出现胆道损伤和相关胆汁瘤的患者。两名患者均因血流动力学不稳定和腹膜抽吸带血而接受了紧急手术。术后几天的计算机断层扫描显示严重的肝实质损伤，并且存在肝实质内和包膜下延伸的低密度聚集物，提示胆汁瘤，但未能证明胆管损伤的确切位置。其中 1 例接受了临时经皮引流。内镜逆行胆管造影（ERCP）充分证实了胆管损伤，并通过胆内支架置入进行治疗。本报告提倡使用 ERCP 和胆内支架置入术来治疗肝外伤引起的胆道损伤。
We report on two patients with biliary tract injury and associated biloma following blunt abdominal trauma. Both patients underwent emergency surgery because of hemodynamic instability and bloody peritoneal aspiration. Computed tomography in the postoperative days showed severe hepatic parenchymal injury and the presence of hypodense collections with intraparenchymal and subcapsular extension, suggestive for biloma, but otherwise failed to demonstrate the exact location of the bile duct injury. One of them underwent temporary percutaneous drainage. Bile duct injury was well demonstrated on endoscopic retrograde cholangiography (ERCP) and treated by endobiliary stent placement. This report advocates the use of ERCP and endobiliary stenting in the management of biliary injury resulting from liver trauma.