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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.

Revista De Gastroenterologia De Mexico
|March 9, 1999
PubMed
Summary

Posttraumatic intrahepatic extraductal biliary collections are rare after abdominal trauma. Suspect these collections in patients with hepatic trauma presenting with jaundice and fever weeks after injury.

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Area of Science:

  • Trauma Surgery
  • Hepatobiliary Surgery
  • Diagnostic Imaging

Background:

  • Intrahepatic extraductal biliary collections are infrequent complications following abdominal trauma.
  • Prompt diagnosis and management are crucial for patient outcomes.

Observation:

  • Two male patients with severe injuries (blunt and penetrating trauma) presented with fever and jaundice.
  • Computed Tomography (CT) scans were instrumental in diagnosing intrahepatic collections.

Findings:

  • Both patients underwent surgical drainage, with one experiencing a satisfactory recovery.
  • The study highlights the diagnostic utility of CT scans in identifying these rare collections.

Implications:

  • Clinicians should maintain a high index of suspicion for posttraumatic intrahepatic extraductal biliary collections.

Related Experiment Videos

  • Early identification and intervention are key for managing patients with hepatic trauma and biliary complications.