Hepatic duct disruption from blunt abdominal trauma: case report and literature review.
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.
Dawson
D L
DL
Department of Surgery, University of Washington, Seattle.
Jurkovich
G J
GJ
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*