A simple stenting method for management of hepatic ductal injury secondary to blunt abdominal trauma: two case reports.
We report two cases of liver injury with hepatic ductal disruption after blunt abdominal trauma. The first case involves a 23-year-old male. Because the bifurcation of the hepatic duct was longitudinally torn, two stenting catheters were inserted toward the right and left hepatic ducts without suture closure of the tear. The patient is well 10 years after the injury. The second case involves a 22-year-old male who suffered an infarction of the inferior portion of the medial segment of the left hepatic lobe as well as a laceration of the left hepatic duct, a 50% circumferential tear. A stenting catheter was introduced into the left hepatic duct, but the defect was not sutured. The patient is well 1.5 years after the injury. The catheter stenting method without suture repair or defect plasty is a simple and effective way to manage hepatic ductal injury.
Sakamoto
Y
Y
Department of Surgery, Asahi General Hospital, Chiba, Japan.
Tanaka
N
N
Furuya
T
T
Okamoto
H
H
Nagai
M
M
Murakawa
T
T
Nobori
M
M
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D002758:Cholangiography; D006500:Hepatic Duct, Common / Q000293:injuries*; D006801:Humans; D008297:Male; D012421:Rupture; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications*