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Laparoscopic-Assisted Transgastric Endoscopic Retrograde Cholangiopancreatography With Placement of a Biliary Stent to Treat Traumatic Intrahepatic Bile Duct Disruption in a Patient With Roux-en-Y Gastric Bypass.
Portelli Tremont, Jaclyn N; Kratzke, Ian M; Motameni, Amirreza; Nunoo, Robert; Chung, Ann.
Afiliación
  • Portelli Tremont JN; Division of General and Trauma Surgery, Department of Surgery, WakeMed Health and Hospitals, Raleigh, NC, USA.
  • Kratzke IM; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Motameni A; Division of General and Trauma Surgery, Department of Surgery, WakeMed Health and Hospitals, Raleigh, NC, USA.
  • Nunoo R; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Chung A; Division of General and Trauma Surgery, Department of Surgery, WakeMed Health and Hospitals, Raleigh, NC, USA.
Am Surg ; 89(5): 2082-2084, 2023 May.
Article en En | MEDLINE | ID: mdl-34116597
Hepatic injuries are common following blunt trauma and while frequently managed expectantly, biliary injury as a result of the trauma requires a high index of suspicion, a focused workup, and likely interventional treatment. A 44-year-old female with a history of Roux-en-Y gastric bypass presented after a ground level fall and was initially discharged home but represented with worsening abdominal pain and elevated liver enzymes. She was found to have a segment 5/6 biliary injury requiring laparoscopic-assisted transgastric endoscopic retrograde cholangiopancreatography with common bile duct stent placement. This case represents the difficulty of diagnosing biliary injuries following blunt trauma, and the need for advanced endoscopic interventions for treatment in patients with atypical anatomy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Derivación Gástrica / Laparoscopía Límite: Adult / Female / Humans Idioma: En Revista: Am Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Derivación Gástrica / Laparoscopía Límite: Adult / Female / Humans Idioma: En Revista: Am Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos