[Closed injuries of the intrahepatic bile ducts--clinical presentation, diagnosis and treatment].
Two cases of blunt trauma of the intrahepatic bile ducts are described: one illustrates the difficulty to establish a diagnosis that is often delayed, the other emphasizes the usefulness of the peroperative cholangiography to precise the diagnosis and define the treatment. In the two cases a simple drainage either perihepatic or of the common bile duct resulted in complete healing of the biliary wound. When liver rupture and bleeding complicates a biliary injury, efficient packing allows to reoperate the patient under better conditions the next day. According to the extent and location of the biliary injury, simple drainage, direct suture, bilio-digestive anastomosis and even hepatectomy in rare cases will be indicated.
Froment
P
P
Ospedale San Giovanni, Département de Chirurgie, Bellinzona.
Pelloni
A
A
Rouijel
J
J
Gertsch
P
P
D000007:Abdominal Injuries / Q000175:diagnosis* / Q000628:therapy; D000293:Adolescent; D000328:Adult; D001653:Bile Ducts, Intrahepatic / Q000293:injuries*; D002758:Cholangiography; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries; D008297:Male; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000628:therapy
Traumatismes fermés des voies biliaires intrahépatiques--présentation clinique, diagnostic et traitement.