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Published on: August 23, 2022
Hepatic duct disruption from blunt abdominal trauma: case report and literature review
1Department of Surgery, University of Washington, Seattle.
Abstract:
A laceration-avulsion injury of the hepatic duct from blunt trauma is described. Operative findings rather than preoperative studies led to the correct diagnosis. A combination of suture repair, left hepatic duct ligation, and hepaticojejunostomy were used to primarily manage this complex injury. Postoperative hepatobiliary scintigraphy and clinical follow-up over 1 year demonstrate satisfactory biliary drainage. Principles of the management of hepatic duct injury are reviewed.
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