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Updated: Aug 14, 2026
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Endoscopic management for hepatic duct injury in children]
J N Mcheik1, M Beauchant, G Levard
1Service de chirurgie pédiatrique, CHU de Poitiers, 350 avenue Jacques-Coeur, BP 57, 86021 Poitiers cedex, France. j.mcheik@chu-poitiers.fr
Insights
Non-operative management of pediatric hepatic injuries is standard. A rare case shows a major hepatic duct injury healing without surgery, challenging the need for intervention in children with abdominal trauma.
Area of Science:
- Pediatric surgery
- Hepatobiliary medicine
- Trauma management
Background:
- Non-operative management is standard for pediatric hepatic injuries.
- Major hepatic duct injuries can cause persistent bile leakage.
- Such injuries typically necessitate surgical repair or resection.
Observation:
- A 13-year-old male sustained hepatic duct injury from abdominal trauma.
- The patient was managed non-operatively.
- Persistent bile leakage was initially a concern.
Findings:
- The hepatic duct injury demonstrated spontaneous healing.
- No surgical repair or hepatic resection was required.
- This case highlights an alternative outcome for pediatric hepatic duct injuries.
Implications:
- Non-operative management may be successful even in cases of major hepatic duct injury.
- This finding could potentially reduce the need for invasive surgery in pediatric trauma.
- Further investigation into the mechanisms of spontaneous healing is warranted.
Abstract:
Non-operative management of hepatic injury in children with abdominal trauma represents a standard of care. A major duct injury with persistent bile leakage may result from trauma to the liver. This injury is of concern in patients treated non operatively because it generally requires major hepatic surgery. We report on a case of a 13-year-old boy with an hepatic duct injury from trauma in which healing occurred without surgical repair or resection.
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