An Unusual Recurrent Bile Leak Following High Grade Liver Trauma
10.17479/jacs.2021.11.3.137
- Author:
Morgan E JONES
1
;
Ee Jun BAN
;
Charles H. C. PILGRIM
Author Information
1. Alfred Health, Department of General Surgery, Melbourne, Victoria, Australia
- Publication Type:Case Report
- From:
Journal of Acute Care Surgery
2021;11(3):137-140
- CountryRepublic of Korea
- Language:English
-
Abstract:
Non-operative management of blunt liver injury has been demonstrated as a safe and effective treatment for most grades of injury. As the severity of liver injury increases, so does the risk of complications. A 21-year-old male was brought to the trauma center following a high speed motorbike accident. He underwent a laparotomy and angioembolization for a Grade 4 liver injury. A biloma was diagnosed on Day 18 post injury, and he underwent Endoscopic Retrograde Cholangiopancreatography and biliary stenting which were unsuccessful. There were 2 re-admissions for infected perihepatic collections. In this case, an Endoscopic Retrograde Cholangiopancreatography was not a helpful procedure due to a disconnected liver segment, and morbidity occurred due to instrumentation of the biliary tree (the likely cause of infected biloma). Hepatic resection should be considered for patients who fail non-operative management. Further assessment of efficacy using a larger dataset for analysis is required.
