Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma.

ABSTRACT:

Introduction

Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In selected cases laparoscopy could be proposed as diagnostic and therapeutic means.

Case report

A 28 years-old male was admitted in the Emergency Unit following a motor vehicle crash. CT-scan showed an isolated stade II hepatic injury at the level of the segment IV. Firstly a NOM was decided. Laparoscopic exploration was then performed at day 4 due to a biliary peritonitis. Intraoperative trans-cystic duct cholangiography showed a biliary leaks of left hepatic biliary tract, involving sectioral pedicle to segment III. Cholecystectomy, trans-cystic biliary draina

SUBMITTER: Marzano E 

PROVIDER: S-EPMC2954929 | biostudies-literature | 2010 Sep

REPOSITORIES: biostudies-literature