Marco Di Serafino, Francesca Iacobellis, Roberto Ronza, Alberto Martino, Dario Grimaldi, Chiara Rinaldo, Martina Caruso, Giuseppina Dell'Aversano Orabona, Luigi Barbuto, Francesco Verde, Vittorio Sabatino, Maria Laura Schillirò, Antonio Brillantino, Luigia Romano
Non-iatrogenic traumatic bile duct injuries (NI-TBIs) are a rare complication after abdominal trauma, with an estimated prevalence of 2.8-7.4% in patients underwent blunt liver injuries. They may be overlooked in patients with extensive multi-organ trauma, particularly hepatic, splenic and duodenal injuries, which have a prevalence of 91%, 54% and 54%, respectively. Whole body contrast-enhanced computed tomography (CE-CT) represents the examination of choice in polytraumatized hemodynamically stable patients, as it allows a comprehensive evaluation of vascular, parenchymal, bone and soft tissues injuries, but the diagnosis of any biliary leaks is limited to the evaluation of nonspecific imaging findings and on findings evolution in the follow-up, such as the progressive growth of fluid collections...
October 30, 2023: Gland Surgery