Fístula biliar secundaria a trauma hepático penetrante con conducta expectante en la “era” del tratamiento endoscópico: reporte clínico
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Universidad Industrial de Santander
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Objetivo: reportar un caso clínico de fístula biliar secundaria a trauma hepático penetrante dada su baja incidencia, que fue tratado de manera convencional al no contar con colangiopancreatografía retrógrada endoscópica. caso clínico: se presenta un hombre de 28 años de edad, con fístula biliar resultante de trauma hepático penetrante. Discusión: la fuga biliar es una complicación mayor después de cirugía hepática y una complicación poco frecuente después de un trauma hepático mayor. El tratamiento convencional ha consistido en intervención quirúrgica con debridación hepática, reparación ductal, una fstula controlada y ERCP cuando está disponible. conclusión: la fístula biliar fue tratada exitosamente con manejo conservador, el tiempo entre el trauma hepático y el cierre de la fístula fue de 35 días. (MÉD.UIS. 2013;26(2):71-3).
Objective: to report a clinical case of bile fstula 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 fstula 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 fstula was treated successfully with conservative management, the duration of time between hepatic trauma and closure of the fstula was 35 days. (MÉD.UIS. 2013;26(2):71-3).
Objective: to report a clinical case of bile fstula 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 fstula 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 fstula was treated successfully with conservative management, the duration of time between hepatic trauma and closure of the fstula was 35 days. (MÉD.UIS. 2013;26(2):71-3).
Keywords
Wounds, Gunshot, Wounds and injuries, Biliary fstula