The Journal of Trauma: Injury, Infection, and Critical Care · 1985 · 20 citations · 0 references
MedicineRadiologySurgeryGastroenterologyHepatologyInterventional RadiologyBiliary Tract DiseaseCholestatic Liver InjuryHepatic PathologyHepatobiliary DiseaseHepatobiliary PathologyHepatobiliary SurgeryAbdominal Distention AssessmentBile Duct ImagingBiliary ReconstructionBiliary Tract InjuryDiagnostic ParacentesisEndoscopic Retrograde CholangiographyLiver Trauma Surgery
Persistent jaundice and abdominal distention were noted postoperatively in a 37-year-old white male who had undergone splenectomy and suture of a liver laceration following a motorcycle accident. Abdominal paracentesis yielded bile-stained fluid. Endoscopic retrograde cholangiography (ERC) demonstrated rupture of the hepatic duct at its bifurcation which had been missed on initial laparotomy. ERC was valuable in planning and subsequently performing a hepatojejunostomy. We found no previous report of using ERC to diagnose and locate a missed bile duct injury.