Percutaneous Management of Traumatic Biliary Injuries

Moni Stein; Felix D. Battistella

doi:10.1055/s-2003-43318

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2003; 20(2): 141-150
DOI: 10.1055/s-2003-43318

Percutaneous Management of Traumatic Biliary Injuries

Moni Stein¹ , Felix D. Battistella²

¹Radiologist, Great Lakes Radiologists, River Hills, Wisconsin
²Department of Surgery, University of California, Davis Medical Center, Sacramento, California

Abstract

ABSTRACT

Significant biliary injuries associated with abdominal trauma occur infrequently, but they can result in considerable morbidity. To date, there is no classification scheme for biliary injuries. Furthermore, the multidisciplinary approach that characterizes care of hepatic vascular injuries is not nearly as well developed for biliary injuries. This article proposes a new classification scheme for traumatic biliary injuries and describes how a multidisciplinary approach involving surgeons, gastroenterologists, and interventional radiologists can improve the care of these patients. This classification is based on the anatomic location of the injured duct and the location of the bile leak (intra- versus extrahepatic biloma). This classification also has implications on types of treatment that are recommended.

KEYWORDS

Bile duct - biloma - biliary fistula - trauma - liver laceration

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Referenzen

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