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[Post-traumatic intrahepatic extraductal bile collection]
C M Ortíz Mendoza1, R Soto Villagrán, M Cuellar Velázquez
1Servicio de Cirugía General, Hospital General de México, Secretaría de Salud, México D.F.
Background:
Intrahepatic extraductal biliary collections are a rare complication of abdominal trauma.
Objective:
To describe two patients with diagnosis of posttraumatic intrahepatic extraductal biliary collections.
Case Report:
Two male patients suffered multiple severe injuries, one of them from blunt trauma and the other from penetrating trauma; their main clinical manifestations were fever and jaundice. CT scan was the best suited diagnostic tool for evidencing the intrahepatic collections. Both patients underwent surgical drainage, only one of them had a satisfactory evolution.
Conclusions:
Posttraumatic intrahepatic extraductal biliary collections are a rare complication of abdominal trauma, its presence should be suspected in patients with hepatic trauma showing jaundice, fever and/or right upper quadrant pain between the second and sixth week following abdominal trauma.