Pledgets infection and persistent bile leak following severe blunt liver trauma treated by partial liver resection: A case report

Q4 Medicine

Trauma Case Reports Pub Date : 2025-05-26 DOI:10.1016/j.tcr.2025.101198

Yoshiro Kobe, Misaki Murasaki, Masaya Ushio, Takayuki Tohma

引用次数: 0

Abstract

Introduction

Persistent bile leakage is a known complication following surgery to control bleeding from severe liver injuries.

Case presentation

A 51-year-old Japanese man presented to our hospital in shock following a collision between his motorcycle and a car. He underwent immediate surgery, in which a liver laceration was repaired with pledgeted sutures. Persistent bile leakage from the sutured hepatic site could be controlled post-operatively with stents, but the sutured hepatic site was found to be infected. A partial liver resection was eventually performed to successfully manage the infection.

Conclusion

Clinicians should consider surgical intervention for cases of persistent infection after failed conservative treatment for severe liver injury.

查看原文本刊更多论文

肝部分切除治疗严重钝性肝外伤后肝脏感染及持续性胆漏1例

持续胆漏是严重肝损伤术后控制出血的已知并发症。病例介绍：一名51岁的日本男子因摩托车与汽车相撞而休克至我院就诊。他立即接受了手术，肝脏撕裂处被缝合。术后肝缝合部位持续胆漏可通过支架控制，但术后发现肝缝合部位存在感染。最终进行了部分肝脏切除术以成功控制感染。结论重型肝损伤保守治疗失败后持续感染应考虑手术干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.