Jejunal mucosal graft for biliary tract disruption following traumatic trisegmentectomy of the liver.
A patient with near-fatal blunt trauma to the liver was subsequently found to have complete disruption of the left hepatic and common ducts. Establishment of biliary-enteric drainage by means of Roux-en-Y jejunal limb required the use of a specially designed Silastic transhepatic stent. This stent provided direct contact between the jejunal mucosal graft and the recessed left hepatic duct. Guidelines for biliary tract reconstruction are discussed.
D001652:Bile Ducts / Q000601:surgery; D002648:Child; D006500:Hepatic Duct, Common / Q000601:surgery; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation*; D007583:Jejunum / Q000637:transplantation*; D008099:Liver / Q000293:injuries*; D008297:Male; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D014949:Wounds, Nonpenetrating / Q000601:surgery*
D012826:Silicone Elastomers