Biloma due to blunt liver trauma
Background: Biloma is a rare abnormal localized accumulation of bile out of biliary tree due to an injury. It has different non-specific clinical features and its diagnosis is based on clinical signs, radiologic findings and chemical analysis of aspirated liquid. Considering the non-specific clinical features, early diagnosis and treatment can have an effective role in the decrease of complications or even mortality and morbidity. Case presentation: A 31 year-old man with dyspnea which had decreased pulmonary sound in the right lung base referred to our center. Two months ago, he had a history of laparotomy and a repaired liver rupture due to the blunt hepatic injury in an accident. His chest xray and abdominal ultrasonography showed a mass in his right liver lobe. The patient underwent the FNA with ultrasonography guide. Chemical analysis of aspirated liquid proved that the liquid was bile. The next follow up, the mass disappeared and no recurrence was detected.Conclusion: Diagnosis of biloma in a patient with the history of blunt liver trauma should be considered for proper interventional treatment in order to reduce morbidity and mortality.
background: biloma is a rare abnormal localized accumulation of bile out of biliary tree due to an injury. it has different non-specific clinical features and its diagnosis is based on clinical signs, radiologic findings and chemical analysis of aspirated liquid. considering the non-specific clinical features, early diagnosis and treatment can have an effective role in the decrease of complicat...متن کامل
Six years experience of blunt abdominal trauma leading to small intestine Perforation in Loghrnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anastomosis, with no mortal...متن کامل
[Complications after conservative management of blunt liver trauma: Biliary fistula, hemobilia and biloma].
Fabio Vergara Suárez*, Rafael López Andú jar, Eva Montalvá Orón, Carolina Ramı́rez Ribelles, Judith Pérez Rojas Unidad de Cirugı́a Hepatobiliopancreática y Trasplante, Hospital Universitario y Politécnico La Fe, Valencia, Spain Servicio de Radiodiagnóstico, Hospital Universitario y Politécnico La Fe, Valencia, Spain Servicio de Anatomı́a Patológica, Hospital Universitario y Politécnico La Fe, Vale...متن کامل
Segmental renal infarction is a rare situation which has been reported so far in the form of case reports. It's caused usually by cardiac conditions, such as atrial fibrillation, and systemic diseases (e.g. systemic lupus erythematous). We are presenting a case of a 31 year old healthy male, who sustained a left segmental renal infarction, following a motorbike accident. We report his presentat...متن کامل
Laparoscopic surgery has become more widespread in the last years. Creating the pneumoperitoneum is the first surgical procedure but it is still responsible for many of the adverse events described in this field. Until now, liver puncture producing a delayed biloma has not been described. We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparosc...متن کامل
Trauma is the leading cause of death in children older than 1 year of age and blunt trauma is the most common mechanism. The spleen and liver account for approximately 70% of all visceral injuries caused by blunt trauma, by far the most commonly injured intra-abdominal organs.1 Injury severity of spleen and liver injury is graded by the American Association for the Surgery of Trauma injury scor...متن کامل
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دوره 1 شماره None
صفحات 159- 161
تاریخ انتشار 2010-01
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