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High-Output Bile Leak Following AAST Grade III Liver Injury Resolved With Endoscopic Stenting: A Case Report
Yoichi Miyaoka1, Shingo Shimada2, Shinya Ueki3
1Department of Surgery, Wakkanai City Hospital, Wakkanai, JPN.
Cureus
|November 17, 2025
Summary
Nonoperative management of blunt liver trauma is standard, but bile leaks can occur. A step-up approach using percutaneous drainage followed by endoscopic retrograde biliary drainage effectively treated a significant bile leak in a trauma patient.
Area of Science:
- Trauma Surgery
- Gastroenterology
- Hepatobiliary Medicine
Background:
- Nonoperative management (NOM) is standard for hemodynamically stable blunt liver trauma.
- Biliary complications, such as bile leaks, can complicate NOM and delay recovery.
- High-output bile leaks require effective management strategies.
