[Biliary fistula after concealed choledochal rupture in a polytraumatized patient].
This paper describes the case of a polytraumatised patient. Following primary care, a persistent fistulous wound developed. After initially good healing, the patient progressively deteriorated. Extensive diagnostic workup revealed a maximally elevated bilirubin concentration in the wound secretion. Five years previously, the patient had undergone a cholecystectomy. A leak in the common bile duct caused by the trauma was detected and was treated with a biliodigestive anastomosis with a Roux-Y loop, and bypass of the distal common bile duct.
Hubel
W
W
Unfallchirurgische Klinik, Kreiskrankenhaus Schorndorf.
Richter
J
J
Walter
E
E
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D002758:Cholangiography; D002763:Cholecystectomy; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012421:Rupture
Biliäre Fistel nach gedeckter Choledochusruptur bei einer polytraumatisierten Patientin.