Late biliary stenosis after conservative management of traumatic liver rupture: case report.
An extensive liver rupture developed in a 50-year-old woman after she received severe blunt injuries in a criminal assault. Nonsurgical management of the liver injury led to recovery of the patient despite a serious blood loss and multiorgan failure. However, 3 months after the injury a complete left bile duct stenosis with liver dysfunction and two hepatic artery pseudoaneurysms were found. Biliodigestive bypass restored normal liver function.
Halme
L
L
Fourth Department of Surgery, Helsinki University Central Hospital, Finland.
Orko
R
R
Tierala
E
E
Höckerstedt
K
K
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology*; D003251:Constriction, Pathologic; D004108:Dilatation, Pathologic; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000293:injuries*; D008875:Middle Aged; D011859:Radiography; D012421:Rupture; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000628:therapy