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Early profound jaundice following blunt hepatic trauma: resolution after lobectomy--case report
S L Visner1, T S Helling, M Watkins
1Department of Surgery, University of Missouri, Kansas City School of Medicine 65804.
The Journal of Trauma
|April 1, 1994
Abstract:
The patient presented herein was seen and evaluated following a motor vehicle crash. Although hemodynamically stable, he was found to have a liver injury and orthopedic trauma. Following admission he developed rapidly deepening jaundice. Radiographic studies demonstrated biliary pooling in the left lobe without antegrade obstruction. After a left hepatic lobectomy steady improvement in his hyperbilirubinemia was seen. Despite our inability to identify a communication anatomically in the resected specimen, one explanation considered was a traumatic fistulization between a biliary radical and an hepatic vein.