Ghosh Shaurav, Kazi Farah Naaz, Sharma J V Pranav
General Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Cureus. 2022 Jun 4;14(6):e25662. doi: 10.7759/cureus.25662. eCollection 2022 Jun.
Traumatic injuries to the extra-hepatic biliary tract are uncommon and may be suspected intraoperatively by the presence of bile-stained fluid in the subhepatic area. We present a case of injury to the common bile duct in a polytrauma patient. The initial CT scan did not suggest biliary injury. However, intraoperatively, bile-stained fluid in the subhepatic space raised suspicion of bile duct injury. This was confirmed postoperatively in the development of a biliary fistula after the primary laparotomy. The patient was treated by endoscopic biliary stenting with complete resolution of the fistula.
肝外胆道的创伤性损伤并不常见，术中可通过肝下区域存在胆汁染色的液体来怀疑。我们报告一例多发伤患者胆总管损伤的病例。最初的CT扫描未提示胆道损伤。然而，术中肝下间隙的胆汁染色液体引起了对胆管损伤的怀疑。这在初次剖腹手术后出现胆瘘得到了证实。该患者通过内镜胆道支架置入术治疗，瘘完全愈合。
