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Pledgets infection and persistent bile leak following severe blunt liver trauma treated by partial liver resection: A
Yoshiro Kobe1, Misaki Murasaki1, Masaya Ushio1
1Department of Surgery, Chiba Emergency Psychiatric Medical Center, Chiba, Chiba 261-0024, Japan.
Introduction:
Persistent bile leakage is a known complication following surgery to control bleeding from severe liver injuries.
Case Presentation:
A 51-year-old Japanese man presented to our hospital in shock following a collision between his motorcycle and a car. He underwent immediate surgery, in which a liver laceration was repaired with pledgeted sutures. Persistent bile leakage from the sutured hepatic site could be controlled post-operatively with stents, but the sutured hepatic site was found to be infected. A partial liver resection was eventually performed to successfully manage the infection.
Conclusion:
Clinicians should consider surgical intervention for cases of persistent infection after failed conservative treatment for severe liver injury.
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