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创伤后肝内胆汁瘤:一种闭合性腹部创伤的罕见并发症:病例报告

Post-traumatic biloma intrahepatic a rare complication of closed abdominal trauma: A case report.

作者信息

Diarra Daouda, Salam Siham, Salihou Abdoulfatihi, Traore Boubacar, Laoudiyi Dalale, Chbani Kamilia, Ouzidane Lahcen El

机构信息

Department of Pediatric Radiology, CHU Ibn Rochd, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University,1, Rue des Hôpitaux, Casablanca, Mo…, Casablanca, 20250, Morocco.

Epidemiology Laboratory, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco.

出版信息

Radiol Case Rep. 2022 Apr 19;17(6):2203-2206. doi: 10.1016/j.radcr.2022.02.059. eCollection 2022 Jun.

Abstract

Post-traumatic hepatic biloma is a rare complication of closed trauma of the abdomen. Generally, biloma occurs spontaneously or secondary to traumatic or iatrogenic injury to the biliary system. It can lead to significant morbidity and mortality if not diagnosed promptly and properly managed. A 4-year-old child was admitted to the emergency room with abdominal pain following a traffic accident. Clinical examinations suspected closed abdominal trauma without biological signs of icteric cholestasis. Abdominal CT scan performed within 24 hours showed a focus of hepatic laceration, and follow-up imaging at 5 days showed post-traumatic intrahepatic cystic formations. This case report aims to emphasize the importance of imaging including ultrasound, CT, MRI, MRI cholangiopancreatography (MRCP), or hepatobiliary cholescintigraphy to establish the diagnosis and guide the therapeutic gestures.

摘要

创伤后肝胆汁瘤是腹部闭合性创伤的一种罕见并发症。一般来说,胆汁瘤可自发出现,或继发于胆道系统的创伤性或医源性损伤。如果未能及时诊断并妥善处理,它可导致严重的发病率和死亡率。一名4岁儿童在交通事故后因腹痛被送入急诊室。临床检查怀疑有腹部闭合性创伤,但无黄疸性胆汁淤积的生物学体征。伤后24小时内进行的腹部CT扫描显示有肝裂伤灶,5天后的随访影像学检查显示有创伤后肝内囊性结构形成。本病例报告旨在强调包括超声、CT、MRI、磁共振胰胆管造影(MRCP)或肝胆闪烁显像等影像学检查对于确立诊断和指导治疗措施的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0787/9048057/c5fceec2b8d5/gr1.jpg

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