title: Hepatic duct disruption from blunt abdominal trauma: case report and literature review.
abstract: A laceration-avulsion injury of the hepatic duct from blunt trauma is described. Operative findings rather than preoperative studies led to the correct diagnosis. A combination of suture repair, left hepatic duct ligation, and hepaticojejunostomy were used to primarily manage this complex injury. Postoperative hepatobiliary scintigraphy and clinical follow-up over 1 year demonstrate satisfactory biliary drainage. Principles of the management of hepatic duct injury are reviewed.
authors.affiliation: Department of Surgery, University of Washington, Seattle.
authors.forename: D L
authors.initials: DL
authors.lastname: Dawson
authors.forename: G J
authors.initials: GJ
authors.lastname: Jurkovich
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000473:pathology*; D000293:Adolescent; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D006801:Humans; D008297:Male; D011859:Radiography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000473:pathology*