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High velocity gunshot injuries result in extensive tissue loss. Tissue necrosis almost always facilitates infection. The bacterial load of the affected organ in abdominal injuries may increase the severity of the infection (1). Open surgery, percutaneous drainage, and endoscopic procedures have been described for the management of biliary leakage following gunshot injury to the liver (2). In this study, we present a case of biliary leakage following gunshot injury to the liver that was treated with vacuum assisted closure (VAC) system. Informed consent was obtained from the patient.

Vacuum-assisted closure in the treatment of biliary leakage following gunshot injury to the liver