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[Posttraumatic biliary pseudocyst of the liver in a child]
K Neubertová1, K Axmann, Z Beranová
1Oddĕlení dĕtské chirurgie FNsP na Bulovce, Praha.
Insights
A rare post-traumatic biliary pseudocyst in a child with severe liver injury was successfully treated with percutaneous drainage. This minimally invasive approach resolved the infection without major surgery.
Area of Science:
- Pediatric Surgery
- Hepatobiliary Surgery
- Trauma Surgery
Background:
- Severe liver injuries can lead to rare complications, including post-traumatic biliary pseudocysts.
- Identifying the cause of persistent sepsis post-operatively is crucial in multiply injured children.
- Biliary pseudocysts pose a significant challenge, especially in severely ill pediatric patients.
Abstract:
The authors describe a rare complication of a severe liver injury--the development of a post-traumatic biliary pseudocyst--in a 5-year-old child with a multiple injury. The pseudocyst was detected by ultrasound and computed tomography when searching for the cause of the persisting septic condition following prolonged resuscitation during the postoperative period. Percutaneous puncture drainage by means of a pigtail made under sonographic control, although because of limited experience it was repeated, led to recovery of the child. Thus it proved possible to resolve a post-traumatic infected biliary hepatic pseudocyst without a major invasion into the child's organism which was severely affected by the multiple injury as well as septic condition.