A minimally invasive approach to bile duct injury after blunt liver trauma in pediatric patients.
A 12-year-old boy presented with a large liver laceration after blunt abdominal trauma. He was treated nonoperatively and subsequently had bile peritonitis from a bile leak. Endoscopic retrograde cholangiopancreatography (ERCP) visualized the bile duct injury and allowed decompression of the biliary tree with an endoscopically placed biliary stent. A drain also was placed over the laceration through a small subcostal incision. The patient recovered rapidly after this minimally invasive procedure and went home 9 days later.
Church
Neal G
NG
Calgary, Alberta.
May
Gary
G
Sigalet
David L
DL
D001652:Bile Ducts / Q000293:injuries*; D002648:Child; D004322:Drainage / Q000379:methods; D004724:Endoscopy; D006801:Humans; D022125:Lacerations / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D010538:Peritonitis / Q000209:etiology; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*