Delayed Presentation of Porta Hepatis Injury Following Blunt Abdominal Trauma
Author(s) -
L. Louis Lau,
Tom Diamond
Publication year - 1997
Publication title -
hpb surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.561
H-Index - 26
eISSN - 1607-8462
pISSN - 0894-8569
DOI - 10.1155/1997/96710
Subject(s) - porta hepatis , medicine , blunt , presentation (obstetrics) , surgery , portal vein , abdominal trauma , jaundice , obstructive jaundice , general surgery
A 73 year old lady developed abdominal pain, anaemia and obstructive jaundice 18 days after a road traffic accident. The jaundice was due to compression of the biliary confluence by a haematoma which was caused by a laceration of the left portal vein. The portal vein was repaired (lateral venorrhaphy) and post-operative recovery was uncomplicated. Porta hepatis injuries are difficult to diagnose and delayed presentation is not uncommon. Significant morbidity and mortality may ensue if aggressive management is not adopted.
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