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创伤性肝和胆管裂伤的处理

Management of Traumatic Liver and Bile Duct Laceration.

作者信息

Tiwari Charu, Shah Hemanshi, Waghmare Mukta, Khedkar Kiran, Dwivedi Pankaj

机构信息

Department of Paediatric Surgery, Topiwala National Medical College & BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.

出版信息

Euroasian J Hepatogastroenterol. 2017 Jul-Dec;7(2):188-190. doi: 10.5005/jp-journals-10018-1247. Epub 2017 Sep 29.

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. 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.

摘要

儿童创伤后严重胆汁漏并不常见,文献报道的病例较少。这些损伤见于严重肝外伤,诊断和处理都很困难。我们描述了一名7岁男孩,在腹部钝性外伤后发生IV级肝外伤和胆汁漏。通过经皮引流和对受伤肝管进行内镜逆行胰胆管造影(ERCP)支架置入术,成功处理了胆汁漏。蒂瓦里C、沙阿H、瓦格马雷M、凯德卡尔K、德维迪P。创伤性肝和胆管裂伤的处理。《欧亚肝脏胃肠病学杂志》2017年;7(2):188 - 190。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c105/5670269/39356373530a/ejohg-07-188-g001.jpg

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