title: Pedicled omental onlay flap for post-traumatic intrahepatic major ductal injury.
abstract: We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking through a rent in the major right intra-hepatic duct at the apex of liver laceration. A pedicled onlay omental flap was used to buttress this rent as direct closure was not possible due to friable tissue. The child recovered uneventfully.
authors.affiliation: Department of Pediatric Surgery, Maulana Azad Medical College and Lok Nayak Hospital.
authors.forename: Simmi K
authors.initials: SK
authors.lastname: Ratan
authors.affiliation: Department of Pediatric Surgery, Maulana Azad Medical College and Lok Nayak Hospital.
authors.forename: Anita
authors.initials: A
authors.lastname: Gangurde
authors.affiliation: Department of Pediatric Surgery, Maulana Azad Medical College and Lok Nayak Hospital.
authors.forename: Shandip K
authors.initials: SK
authors.lastname: Sinha
authors.affiliation: Department of Pediatric Surgery, Maulana Azad Medical College and Lok Nayak Hospital.
authors.forename: Sudhir
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Gastroenterology, GB Pant Hospital, New Delhi, India-110002.
authors.forename: Barjesh Chander
authors.initials: BC
authors.lastname: Sharma
authors.affiliation: Department of Pediatric Surgery, Maulana Azad Medical College and Lok Nayak Hospital.
authors.forename: Satish K
authors.initials: SK
authors.lastname: Aggarwal
keywords: Bile leak; Omental flap; Post traumatic intra-hepatic bile duct