Early profound jaundice following blunt hepatic trauma: resolution after lobectomy--case report.
The patient presented herein was seen and evaluated following a motor vehicle crash. Although hemodynamically stable, he was found to have a liver injury and orthopedic trauma. Following admission he developed rapidly deepening jaundice. Radiographic studies demonstrated biliary pooling in the left lobe without antegrade obstruction. After a left hepatic lobectomy steady improvement in his hyperbilirubinemia was seen. Despite our inability to identify a communication anatomically in the resected specimen, one explanation considered was a traumatic fistulization between a biliary radical and an hepatic vein.
Visner
S L
SL
Department of Surgery, University of Missouri, Kansas City School of Medicine 65804.
Helling
T S
TS
Watkins
M
M
D000063:Accidents, Traffic; D000328:Adult; D002758:Cholangiography; D006498:Hepatectomy; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis