腹部钝性创伤继发的孤立性肝内胆管损伤1例报告并文献复习

Shengming Zhang , Yifeng He , Daiwei Zhou , Jianhong Jiang, Jianfan Wen, Deqin Zeng
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引用次数: 0

摘要

闭合性外伤性肝外胆管损伤偶有报道。然而,孤立性肝内胆管损伤极为罕见,因为肝内胆管位置较深,周围有重要血管和器官的保护。我们报告一例50岁的女性谁持续不完全破裂的左肝胆管后,一场车祸。事故发生后,患者被紧急转移到附近的医院接受治疗。住院第15天出现腹胀、恶心、消化不良、白便。超声引导下腹腔穿刺排出大量深绿色腹水。患者要求进一步专科诊断和治疗,随后转至我院。最终,经皮肝内胆管造影(PTC)显示造影剂从左肝内胆管外渗,证实了外伤性胆管损伤。患者于伤后第30天行左半肝切除术,术后第12天成功康复出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Isolated intrahepatic bile duct injury secondary to blunt abdominal trauma: A case report and literature review
Closed trauma-induced extrahepatic bile duct injuries have been occasionally reported. However, isolated intrahepatic bile duct injuries are extremely rare due to the deep location of the intrahepatic bile ducts and the protection provided by surrounding vital blood vessels and organs.
We report a case of a 50-year-old female who sustained an incomplete rupture of the left hepatic bile duct following a car accident. The patient was urgently transferred to a nearby hospital for treatment after the incident. On the 15th day of hospitalization, she developed abdominal distension, nausea, indigestion, and white stool. Large volumes of dark green ascitic fluid were drained via ultrasound-guided abdominal paracentesis. The patient requested further specialized diagnosis and treatment and was subsequently transferred to our hospital. Ultimately, percutaneous transhepatic cholangiography (PTC) revealed contrast agent extravasation from the left intrahepatic bile duct, confirming a traumatic bile duct injury. The patient underwent left hemihepatectomy on the 30th day post-injury and was discharged on the 12th postoperative day following a successful recovery.
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