Gunshot liver trauma with disruption of the right hepatic duct managed by surgery, radiology, and endoscopy: a case report.
During the process of treating a complicated gunshot wound of an upper limb, chest, abdomen, and spine, there appeared--sometime after the initial treatment--a necrosis of the right hepatic duct in the bullet path within the liver. Although laparotomy was the life-saving operation during the first and second period, the final diagnosis and solution were based on bypassing the defect, i.e., a combination of a percutaneous and endoscopic approach. The efficiency of this method was also proved by an examination carried out 1 year after the end of the treatment.
Chmátal
Petr
P
Department of Surgery, Central Military Hospital, Praha, Czech Republic. Chmatal@seznam.cz
Zavoral
Miroslav
M
Fencl
Pavel
P
Lednický
Ladislav
L
Závada
Filip
F
D000328:Adult; D016145:Endoscopy, Digestive System; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000601:surgery*