Management of hemobilia and persistent biliary fistula after blunt liver trauma

Management of hemobilia and persistent biliary fistula after blunt liver trauma

A 10-year-old girl had hemobilia and a biliocutaneous fistula after blunt abdominal trauma. Embolization of the right hepatic artery occluded the hepatic artery aneurysm, but the cutaneous biliary fistula persisted despite prolonged (8 months) conservative management including sphincter decompressio...

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Veröffentlicht in:Journal of pediatric surgery 1994-12, Vol.29 (12), p.1575-1577
Hauptverfasser: Steiner, Z., Brown, R.A., Jamieson, D.H., Millar, A.J.W., Cywes, S.
Format: Artikel
Sprache:eng
Schlagworte:
Abdominal Injuries - complications
Anastomosis, Roux-en-Y
Biliary Fistula - etiology
Biliary Fistula - surgery
Child
Enterostomy
Female
Hemobilia - etiology
Hemobilia - surgery
Humans
Liver - injuries
Wounds, Nonpenetrating - complications
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Beschreibung
Zusammenfassung:A 10-year-old girl had hemobilia and a biliocutaneous fistula after blunt abdominal trauma. Embolization of the right hepatic artery occluded the hepatic artery aneurysm, but the cutaneous biliary fistula persisted despite prolonged (8 months) conservative management including sphincter decompression with an endoscopically placed biliary stent. Roux-en-Y fistuloenterostomy eventually cured the bile leak.
ISSN:0022-3468
1531-5037
DOI:10.1016/0022-3468(94)90221-6