Abstract

ARMENTA-DURAN, Eduardo; ENRIQUEZ-DOMINGUEZ, Lenin; DIAZ-ROSALES, Juan de Dios  and  DUARTE-ERIVES, Ever. Bile fistula after penetrating hepatic trauma with expectant management in the "era" of endoscopic treatment: clinical report. Medicas UIS [online]. 2013, vol.26, n.2, pp.71-73. ISSN 0121-0319.

Objective: to report a clinical case of bile fistula after penetrating hepatic trauma given its low incidence, which was expectant managed by not having endoscopic retrograde cholangiopancreatography. Clinical case: we present a 28 years-old man, with biliary fistula resulting after a penetrating hepatic trauma. Discussion: bile leakage is a major complication after liver surgery and a rare one in complication of major hepatic trauma. Conventional treatment has consisted of surgical intervention with hepatic debridement, ductal repair, controlled drainage and ERCP when available. Conclusion: biliary fistula was treated successfully with conservative management, the duration of time between hepatic trauma and closure of the fistula was 35 days. (MÉD.UIS. 2013;26(2):71-3).

Keywords : Wounds, Gunshot; Wounds and injuries; Biliary fistula.

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