Abstract
Posttraumatic major bile leak in children is uncommon, with few cases reported in the literature. These injuries are seen in high-grade liver trauma and are difficult to diagnose and manage. We describe a 7-year-old boy with grade IV hepatic trauma and bile leak following blunt abdominal trauma. The leak was successfully managed by percutaneous drainage and endoscopic retrograde cholangiopancreatography (ERCP) stenting of the injured hepatic duct.How to cite this article: Tiwari C, Shah H, Waghmare M, Khedkar K, Dwivedi P. Management of Traumatic Liver and Bile Duct Laceration. Euroasian J Hepato-Gastroenterol 2017;7(2):188-190.
Highlights
The incidence of biliary complications after blunt hepatic trauma has been reported to be 2.8 to 7.4%.1-3 Such complications are usually seen in high-grade liver injuries and are more complex unlike postoperative iatrogenic injuries.[4]
Contrast-enhanced computed tomography (CECT) abdomen suggested massive hemoperitoneum with American Association for the Surgery of Trauma (AAST) grade IV trauma in segments III and IV of liver and AAST grade I trauma in spleen (Fig. 1)
Extrahepatic bile duct injury may occur in the absence of a liver parenchymal injury, whereas intrahepatic bile duct injury is invariably associated with liver parenchymal laceration.[4,7]
Summary
The incidence of biliary complications after blunt hepatic trauma has been reported to be 2.8 to 7.4%.1-3 Such complications are usually seen in high-grade liver injuries and are more complex unlike postoperative iatrogenic injuries.[4]. The management of these injuries requires a high index of clinical suspicion, timely and correct diagnosis, and appropriate treatment.[4,5] This reduces complications and helps in rapid recovery of the patient
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