Read by QxMD icon Read

bile leak trauma

Douglas G Adler, Linda Jo Taylor, Tyler McVay, Madeleine Birch, Gloria Francis, Andrew Zabolotsky, Sobia N Laique, Umar Hayat, Tingting Zhan, Ali A Siddiqui
INTRODUCTION: Postsurgical or traumatic bile duct leaks (BDLs) can be safely and effectively managed by endoscopic therapy via ERCP. The early diagnosis of BDL is important because unrecognized leaks can lead to serious adverse events. Our aim was to evaluate the relationship between timing of endotherapy after BDL and the clinical outcomes, adverse events, and long-term results of endoscopic therapy. METHODS: We conducted a multicenter, retrospective study on patients with BDLs who underwent ERCP between 2006 and 2014...
August 25, 2016: Gastrointestinal Endoscopy
Christina A LeBedis, David D B Bates, Jorge A Soto
Iatrogenic and traumatic bile leaks are uncommon. However, given the overall increase in number of hepatobiliary surgeries and the paradigm shift toward nonoperative management of patients with liver trauma, they have become more prevalent in recent years. Imaging is essential to establishing early diagnosis and guiding treatment as the clinical signs and symptoms of bile leaks are nonspecific, and a delay in recognition of bile leaks portends a high morbidity and mortality rate. Findings suspicious for a bile leak at computed tomography or ultrasonography include free or contained peri- or intrahepatic low density fluid in the setting of recent trauma or hepatobiliary surgery...
August 9, 2016: Abdominal Radiology
David D B Bates, Christina A LeBedis, Jorge A Soto, Avneesh Gupta
This article presents the magnetic resonance protocols, imaging features, diagnostic criteria, and complications of commonly encountered emergencies in pancreaticobiliary imaging. Pancreatic trauma, bile leak, acute cholecystitis, biliary obstruction, and pancreatitis are discussed. Various classifications and complications that can arise with these conditions, as well as artifacts that may mimic pathology, are also included.
May 2016: Magnetic Resonance Imaging Clinics of North America
Charles de Mestral, Tarek Razek, Kosar Khwaja, Paola Fata
BACKGROUND: Extrahepatic biliary tract injuries following blunt abdominal trauma are very rare and pose a diagnostic and therapeutic challenge. CASE REPORT: We report a case of blunt liver injury with left extrahepatic duct transection following a motor vehicle collision. Technetium 99m dimethyliminodiacetic acid scan confirmed a bile leak and endoscopic retrograde cholangiopancreatography (ERCP) diagnosed the injury of the left extrahepatic duct. Management was initially conservative, consisting of external drainage along with trials of stent placement...
December 2008: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Qian Zhan, Xiaxing Deng, Yuanchi Weng, Jiabin Jin, Zhichong Wu, Hongwei Li, Baiyong Shen, Chenghong Peng
BACKGROUND: To explore the effectiveness, safety, and efficacy of the robot-assisted surgery in the radical resection of pancreatic ductal adenocarcinoma (PDAC). METHODS: The clinical data of 72 patients with PDAC who underwent radical resection using the da Vinci Surgical System from April 2010 to December 2014 were retrospectively analyzed. RESULTS: Among these 72 patients, three were converted to conventional laparotomy due to the vascular invasion or due to the difficulties in tissue isolation from the surrounding organs...
December 2015: Chinese Journal of Cancer Research, Chung-kuo Yen Cheng Yen Chiu
Christopher S Green, Eileen M Bulger, Sharon W Kwan
BACKGROUND: The liver is one of the most frequently injured abdominal organs. Hepatic hemorrhage is a complex and challenging complication following hepatic trauma. Significant shifts in the treatment of hepatic hemorrhage, including the increasing use of angioembolization, are believed to have improved patient outcomes. We aimed to describe the efficacy of angioembolization in the setting of acute hepatic arterial hemorrhage as well as the complications associated with this treatment modality...
March 2016: Journal of Trauma and Acute Care Surgery
Ammar Al-Hassani, Gaby Jabbour, Mohammad ElLabib, Ahad Kanbar, Ayman El-Menyar, Hassan Al-Thani
INTRODUCTION: Delayed bile leak following blunt liver trauma is not common. PRESENTATION OF CASE: We presented a case report and literature review of delayed bile leak in a young male patient who presented with grade IV blunt liver injury following a motor vehicle collision; he was a restrained driver who hit a fixed object. Physical examination was unremarkable except for revelaed tachycardia, right upper quadrant abdominal tenderness, and open left knee fracture...
2015: International Journal of Surgery Case Reports
Victoria Brown, Jennifer Martin, Damian Magee
Laparoscopic cholecystectomy is a commonly performed surgical procedure for the treatment of symptomatic cholelithiasis. As with all surgical procedures, it carries risk, with the most commonly reported complications including infection, bile leak and bleeding. One unusual complication is subcapsular liver haematoma, the diagnosis presented here. This is a rare occurrence; only a small number of cases have been reported in the literature and as yet no conclusive cause or management plan has been found. Iatrogenic liver trauma, the use of oral and intravenous non-steroidal anti-inflammatory drugs (NSAIDs) and anticoagulants have all been named as possible contributing factors...
2015: BMJ Case Reports
Sana Naeem, Hanna Li, Zhiyun Yang
Hepatobiliary scintigraphy (HBS) is a widely used modality to diagnose biliary injury. In patients with a history of trauma or surgery, the common presentations of bile leaks on HBS are a progressive collection of radiotracer outside the biliary system. However, the precise localization of a bile leak is usually not conveyed by noninvasive techniques including CT or ultrasound or even HBS. This case study of a patient with liver trauma demonstrates a direct bile leak sign leading to recognition of an exact bile leakage site from the left intrahepatic duct...
March 2016: Journal of Nuclear Medicine Technology
N Guglielmo, F Melandro, L Improta, G Mennini, D Rossi, M Assenza, M Rossi, P B Berloco
Liver is frequently involved and injured in blunt abdominal trauma. Although over the last three decades the management of blunt hepatic trauma has gradually shifted toward nonoperative approach whit a significant reduction in overall mortality, surgery remains the main option for hemodinamically unstable patients whit severe liver injuries. A 16-yr-old male in good health suffered a blunt abdominal trauma from a sport accident falling while playing football resulting in a grade V liver injury according to the American Association for the Surgery of Trauma Organ Injury Score...
2015: La Clinica Terapeutica
Anita Balakrishnan, Reyad Abbadi, Kathryn Oakland, Saurabh Jamdar, Simon Jf Harper, Neville V Jamieson, Emmanual L Huguet, Asif Jah, Raaj K Praseedom
BACKGROUND: Equestrian sports are common outdoor activities that may carry a risk of liver injury. Due to the relative infrequency of equestrian accidents the injury patterns and outcomes associated with liver trauma in these patients have not been well characterized. METHODS: We examined our experience of the management of equestrian liver trauma in our regional hepatopancreaticobiliary unit at a tertiary referral center. The medical records of patients who sustained liver trauma secondary to equestrian activities were analysed for parameters such as demographic data, liver function tests, patterns of injury, radiological findings, the need for intervention and outcomes...
2014: Journal of Trauma Management & Outcomes
Martijn Hommes, Andrew J Nicol, Pradeep H Navsaria, Eline Reinders Folmer, Sorin Edu, Jake E J Krige
BACKGROUND: Bile leaks occur in 4% to 23% of patients after major liver injuries. The role of conservative management versus internal biliary drainage has not been clearly defined. The safety and efficacy of nonoperative management of bile leaks were studied. METHODS: Four hundred twelve patients with liver injuries were assessed in a prospective study between 2008 and 2013. All patients with clinically significant injuries to the intrahepatic biliary tract were evaluated...
September 2014: Journal of Trauma and Acute Care Surgery
Christina A LeBedis, Stephan W Anderson, Gustavo Mercier, Steven Kussman, Stephanie L Coleman, Louis Golden, David R Penn, Jennifer W Uyeda, Jorge A Soto
The purpose of this study was to determine the efficacy of CT to predict the development of bile leaks in hepatic trauma. This HIPAA-compliant retrospective study was IRB approved and consent was waived. All patients who sustained hepatic trauma between January 1, 2006, and January 31, 2012, and who underwent CT and hepatobiliary scans during the same hospital admission were included. One hundred and thirty-two patients met the inclusion criteria. Comparison between the presence of biliary injury relative to American Association for the Surgery of Trauma (AAST) hepatic injury grade and mean distance of the hepatic laceration to the inferior vena cava (IVC) was made...
April 2015: Emergency Radiology
Kira Melamud, Christina A LeBedis, Stephan W Anderson, Jorge A Soto
Although traumatic and iatrogenic bile leaks are rare, they have become more prevalent in recent years due to an increased propensity toward nonsurgical management of patients with liver trauma and an overall increase in the number of hepatobiliary surgeries being performed. Because clinical signs and symptoms of bile leaks are nonspecific and delay in the recognition of bile leaks is associated with high morbidity and mortality rates, imaging is crucial for establishing an early diagnosis and guiding the treatment algorithm...
May 2014: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Kuo-Ching Yuan, Yon-Cheong Wong, Chih-Yuan Fu, Chee-Jen Chang, Shih-Ching Kang, Yu-Pao Hsu
BACKGROUND: Major bile leak after blunt liver trauma is rare but challenging. It usually requires endoscopic retrograde cholangiography (ERC) for management. However, there is still lack of specific indications. The aim of this study is to elucidate risk factors for major bile leak and indications for early ERC after blunt liver trauma. METHODS: The trauma registry of a level I trauma center in Taiwan was queried, and all blunt liver trauma patients from June, 2008 to June, 2011 were selected for retrospective review...
2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Afif N Kulaylat, Audrey L Stokes, Brett W Engbrecht, J Steele McIntyre, Susan E Rzucidlo, Robert E Cilley
BACKGROUND: Selective non-operative management (NOM) of hemodynamically stable pediatric patients with blunt hepatic trauma is the standard of care. Traumatic bile leaks (TBL) are a potential complication following liver injury. The use of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and treatment of TBL is described in adults, but limited in the pediatric literature. We report our experience with a multidisciplinary and minimally invasive approach to the management of TBL...
March 2014: Journal of Pediatric Surgery
Aiman Al Wahaibi, Khalid Alnaamani, Ahmed Alkindi, Issa Al Qarshoubi
INTRODUCTION: Bile leak is a serious complication of hepatobiliary surgery. The incidence has remained the same over the last decade despite significant improvement in the results of liver surgery. PRESENTATION OF CASE: A 21-year-old man was a passenger in a motor vehicle and sustained a blunt abdominal trauma in a high-speed collision leading to major liver laceration. He had right lobe hepatectomy complicated by major bile leak. He was not fit for further surgery and he, therefore, had ERCP and obliteration of the leaking bile duct using a combination of metallic coil and N-butyl cyanoacrylate...
2014: International Journal of Surgery Case Reports
R Inchingolo, A Ljutikov, A Deganello, P Kane, J Karani
AIM: To determine the applicability of accurate computed tomography (CT) evaluation and embolization as non-operative management for liver trauma in a paediatric population. MATERIAL AND METHODS: A retrospective observational study of 37 children (mean age 10.5 years) with hepatic trauma (28 blunt, 9 penetrating) admitted to a trauma referral centre over a 5 year period. All patients were evaluated with CT and scored with an Association for the Surgery of Trauma score...
February 2014: Clinical Radiology
Cori-Ann M Hirai, Daniel Murariu, Matthew D Cooper, Andrew J Oishi, Steven D Nishida, Cedric Sf Lorenzo, Racquel S Bueno
This study aims to demonstrate the feasibility of implementing single-incision laparoscopic cholecystectomy in a community hospital setting. Minimally invasive surgical approaches for cholecystectomy achieve equivalent outcomes to the open surgical approach with less post-operative pain, improved cosmesis, shorter hospital stays, and decreased complications. Surgeons are attempting to reduce incisional trauma further by decreasing the number of incisions. A retrospective chart review was conducted for demographics, operating time, blood loss, conversion rate, length of stay, and presence of operative complications on patients undergoing single-incision laparoscopic cholecystectomy at two community hospitals between 2008 and 2011...
December 2013: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
Nghia-Jack Vo, Morgan Althoen, Daniel S Hippe, Somnath J Prabhu, Karim Valji, Siddharth A Padia
PURPOSE: Although transcatheter embolization is a well established technique to treat adults in the trauma setting, evidence is lacking in the pediatric population. This study assesses the safety and efficacy of arterial embolization for blunt abdominal and pelvic trauma in the pediatric population. MATERIALS AND METHODS: A retrospective review of abdominal and pelvic angiograms in 97 pediatric patients with blunt trauma was conducted over an 11-year period. Abdominal angiography and embolization was performed for ongoing hepatic, renal, splenic, or nonvisceral retroperitoneal injury...
February 2014: Journal of Vascular and Interventional Radiology: JVIR
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"