A rare case of hepatic duct injury from blunt abdominal trauma

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A rare case of hepatic duct injury from blunt abdominal trauma

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Title: A rare case of hepatic duct injury from blunt abdominal trauma
Author: Hasaniya, Nahidh W.; Premaratne, Shyamal; Premaratne, Ishani D.; McNamara, J. Judson

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Citation: Hasaniya, Nahidh W., Shyamal Premaratne, Ishani D. Premaratne, and J. Judson McNamara. 2013. “A rare case of hepatic duct injury from blunt abdominal trauma.” The American Journal of Case Reports 14 (1): 106-108. doi:10.12659/AJCR.883881. http://dx.doi.org/10.12659/AJCR.883881.
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Abstract: Background: A 25 year-old male was brought to the emergency room following an apparent suicide attempt by jumping from the fourth floor. Case Report: Patient had a large abdominal laceration in the right upper quadrant (RUQ). CT scan showed a sub-scapular hematoma of the liver. Due to the repeated episodes of hypotension, a laporotomy was performed and the left hepatic artery was ligated while the ductal injury was managed with a Roux-en-Y left hepatic jejunostomy and stent. Bile leakage was resolved post-operatively by day 5 and the patient was discharged home on day 13 after clearance from psychiatry. Conclusions: While non-iatrogenic extrahepatic biliary trauma is rare, a high degree of suspicion is essential, especially in cases like the one discussed in this report. Diagnosis can be difficult in patients undergoing observation.
Published Version: doi:10.12659/AJCR.883881
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3700485/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:11717559
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