Open AccessTratamiento mínimamente invasivo de una lesión de la vía biliarsecundaria a un traumatismo abdominal cerrado. Caso clínico
Author(s) -
Diego F Gallegos Chavez,
Julia Udaquiola,
Roberto Vagni,
Pablo Lobos,
Juan Moldes,
Daniel Liberto
Publication year - 2018
Publication title -
archivos argentinos de pediatría
Language(s) - Spanish
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 19
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2018.e778
Subject(s) - medicine , abdominal trauma , hemoperitoneum , surgery , laparotomy , percutaneous , lesion , biliary tract , blunt
Hepatic and biliary tract injuries due to traumatic causes are rare in pediatric patients. Of the total number of patients with closed abdominal trauma, less than 9 % have liver injury, and the frequency varies between 2 and 3 % of biliary tract lesions. Currently, the recommended treatment for closed abdominal trauma with liver injury without hemodynamic repercussion is conservative. In case of presenting intra or extrahepatic biliary tract lesion, the preferred approaches are minimally invasive, such as percutaneous or endoscopic surgery, using laparotomy in selected cases. We present the case of a patient with closed abdominal trauma and liver trauma, initially laparotomized on 2 occasions due to hemodynamic instability and hemoperitoneum; presented a subdiaphragmatic and coleperitoneal bilioma; it was performed minimally invasive percutaneous drainage under tomographic control.