Traumatic injuries to the biliary tree

Williamson, J M L

doi:10.12968/hmed.2013.74.3.138

Cited by 4 publications

(6 citation statements)

References 21 publications

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“…5 What makes the authors' case rare was an isolated laceration of the right hepatic duct, which is usually protected in patients posttrauma due to the duct being located deeper below the liver. 1 Extrahepatic bile duct injuries due to trauma may generally go unnoticed in the initial period and be diagnosed in the later part of the clinical course of the patient. 1 Zago et al 6 reported two cases of traumatic biliary duct injuries.…”

Section: Case Reportmentioning

confidence: 99%

“…1 Extrahepatic bile duct injuries due to trauma may generally go unnoticed in the initial period and be diagnosed in the later part of the clinical course of the patient. 1 Zago et al 6 reported two cases of traumatic biliary duct injuries. One was diagnosed as left hepatic duct injury on the sixteenth day after a motor vehicle collision, while the other patient suffered from multiple lacerations of the extrahepatic biliary duct after a fall from a height of 7 m and was diagnosed at the time of laparotomy.…”

Section: Case Reportmentioning

confidence: 99%

“…Biliary tract injuries are mainly caused by iatrogenic procedures, which account for a major risk factor, and trauma is a relatively rare cause. 1 These usually present with clinical features such as abdominal pain and distension, nausea and vomiting, or fever if biliary peritonitis sets in. An ultrasound or a CT scan is the initial diagnostic modality, depending on the haemodynamic condition of the patient, whereas magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are performed in cases that remain undiagnosed.…”

Section: Introductionmentioning

confidence: 99%

“…An ultrasound or a CT scan is the initial diagnostic modality, depending on the haemodynamic condition of the patient, whereas magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) are performed in cases that remain undiagnosed. 1 The management of the injuries can be done either endoscopically (the various treatment options include sphincterotomy; nasobiliary tube insertion; or plastic stent placement, according to the European Society of Gastrointestinal Endoscopy [EGSE]) 2 or surgical ligation, depending on the clinical scenario. 1 The authors' case adds to the scarce epidemiological pool regarding right hepatic duct injuries in cases of blunt trauma.…”

Section: Introductionmentioning

confidence: 99%

“…1 The management of the injuries can be done either endoscopically (the various treatment options include sphincterotomy; nasobiliary tube insertion; or plastic stent placement, according to the European Society of Gastrointestinal Endoscopy [EGSE]) 2 or surgical ligation, depending on the clinical scenario. 1 The authors' case adds to the scarce epidemiological pool regarding right hepatic duct injuries in cases of blunt trauma.…”

Section: Introductionmentioning

confidence: 99%

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Post-traumatic Isolated Right Hepatic Duct Injury: A Case Report

et al. 2022

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A 73-year-old female presented with a rare presentation of extrahepatic ductal injuries post-trauma in the form of a right hepatic duct injury. Such injuries go undetected despite normally advised imaging, presenting a few to several days post-trauma. Taking into consideration the risk of biliary leakage, biliary strictures, or recurrent cholangitis, it is imperative to keep a lookout for this differential diagnosis. Given the scarce literature on post-traumatic right hepatic duct injuries, the authors felt that this case could be a beacon in the discussion of the same issue among the surgical community.

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Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Post-traumatic Isolated Right Hepatic Duct Injury: A Case Report

et al. 2022

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Bile duct injury with formation of right hepatic duct-duodenal fistula after cholecystectomy: A case report

Wang,

Liu,

et al. 2023

Medicine

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Rationale: The management of bile duct injury (BDI) remains a considerable challenge in the department of hepatobiliary and pancreatic surgery. BDI is mainly iatrogenic and mostly occurs in laparoscopic cholecystectomy (LC). After more than 2 decades of development, with the increase in experience and technological advances in LC, the complications associated with the procedure have decreased annually. However, bile duct injuries (BDI) still have a certain incidence, the severity of BDI is higher, and the form of BDI is more complex. Patient concerns: We report the case of a patient who presented with bile duct injury and formation of a right hepatic duct-duodenal fistula after LC. Diagnoses: Based on the diagnosis, a dissection was performed to relieve bile duct obstruction, suture the duodenal fistula, and anastomose the right and left hepatic ducts to the jejunum. Intervention: Based on the diagnosis, a dissection was performed to relieve bile duct obstruction, suture the duodenal fistula, and anastomose the right and left hepatic ducts to the jejunum. Outcomes: Postoperative recovery was uneventful, with normal liver function and no complications, such as anastomotic fistula or biliary tract infection. The patient was hospitalized for 11 days postoperatively and discharged. Lessons: The successful diagnosis and treatment of this case and the summarization of the imaging features and diagnosis of postoperative BDI have improved the diagnostic understanding of postoperative BDI and provided clinicians with a particular clinical experience and basis for treating such diseases.

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