Postoperative evaluation of penetrating hepatic trauma and complications.
Postoperative hepatobiliary scintigraphy is recommended in selected cases of hepatic trauma to evaluate the integrity and patency of the biliary system. We present a patient with a traumatic hematoma that eventuated in a biloma with spontaneous biliary-cutaneous fistula. Repeat study demonstrated biliary obstruction at the canalicular level, which by more invasive imaging was found secondary to total obstruction of the common hepatic duct. The precise anatomical level and cause of his obstruction were defined by the findings of endoscopic retrograde cannulation of the pancreas, percutaneous transhepatic cholangiography, and surgery.
D000328:Adult; D001658:Biliary Fistula / Q000000981:diagnostic imaging; D001659:Biliary Tract / Q000000981:diagnostic imaging* / Q000293:injuries; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000000981:diagnostic imaging; D005402:Fistula / Q000000981:diagnostic imaging; D006801:Humans; D007098:Imino Acids; D008099:Liver / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D012871:Skin Diseases / Q000000981:diagnostic imaging; D013667:Technetium; D019785:Technetium Tc 99m Disofenin; D014951:Wounds, Stab / Q000000981:diagnostic imaging* / Q000601:surgery
D007098:Imino Acids; D013667:Technetium; D019785:Technetium Tc 99m Disofenin