Management of Traumatic Liver and Bile Duct Laceration
Charu Tiwari1, Hemanshi Shah1, Mukta Waghmare1
1Department of Paediatric Surgery, Topiwala National Medical College & BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
Insights
Posttraumatic bile leaks in children are rare, often resulting from severe liver trauma. This case highlights successful management of a grade IV hepatic trauma and bile leak using percutaneous drainage and ERCP stenting.
Area of Science:
- Pediatric Surgery
- Hepatobiliary Surgery
- Trauma Management
Background:
- Major bile leaks after trauma in children are uncommon and challenging to diagnose and manage.
- High-grade liver trauma is often associated with these injuries.
Purpose of the Study:
- To describe the successful management of a pediatric patient with posttraumatic major bile leak.
- To illustrate a minimally invasive approach for managing complex hepatic duct injuries.
Main Methods:
- A 7-year-old boy with grade IV hepatic trauma and bile leak underwent percutaneous drainage.
- Endoscopic retrograde cholangiopancreatography (ERCP) with stenting was performed to address the injured hepatic duct.
Main Results:
- The combined approach of percutaneous drainage and ERCP stenting effectively managed the major bile leak.
- The patient's hepatic trauma and associated bile leak were successfully treated.
Conclusions:
- Percutaneous drainage and ERCP stenting represent a viable and successful strategy for managing posttraumatic major bile leaks in children.
- This case underscores the importance of prompt diagnosis and tailored management for high-grade liver trauma in pediatric patients.
Abstract:
Posttraumatic major bile leak in children is uncommon, with few cases reported in the literature. These injuries are seen in high-grade liver trauma and are difficult to diagnose and manage. We describe a 7-year-old boy with grade IV hepatic trauma and bile leak following blunt abdominal trauma. The leak was successfully managed by percutaneous drainage and endoscopic retrograde cholangiopancreatography (ERCP) stenting of the injured hepatic duct. How to cite this article: Tiwari C, Shah H, Waghmare M, Khedkar K, Dwivedi P. Management of Traumatic Liver and Bile Duct Laceration. Euroasian J Hepato-Gastroenterol 2017;7(2):188-190.
