Role of percutaneous transhepatic biliary drainage in the management of blunt liver trauma: A case report

The liver is the most commonly injured intra-abdominal organ after blunt trauma. The management of massive liver injury is complex. Percutaneous transhepatic biliary drainage is the first approach considered, particularly for proximal bile duct strictures after liver surgery. A 27-year-old female patient was transferred to our emergency department with grade V blunt injury. Regarding the patient’s unresponsive hemodynamic instability, right hepatectomy was performed. The patient presented with benign biliary duct stricture after surgery that were treated via the percutaneous approach.

Karaciðer künt travma yönetiminde perkütan biliyer drenajýn rolü: Olgu sunumu

Künt travma sonrasý, çoðunlukla yaralanan karýn içi organ karaciðerdir. Karaciðer masif yaralanma yönetimi kompleks bir durumdur. Karaciðer cerrahisi sonrasý geliþen özellikle proksimal biliyer duktus striktürlerinde perkütanöz transhepatik biliyer drenaj göz önünde bulundurulmasý gereken ilk yaklaþýmdýr. Acil servisimize grade V karaciðer yaralanmasý olan, 27 yaþýnda bir kadýn hasta transfer edildi. Hemodinamik olarak deðiþken olan hastaya sað hepatektomi yapýldý. Cerrahi sonrasý hasta, biliyer duktusda benign striktür ile baþvurdu ve bu durum perkütanöz yaklaþýmla tedavi edildi.