A case with damage control surgery due to liver and common bile duct injury

DOI
  • Yokono Yoshinori
    Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine
  • Ebihara Takeshi
    Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine
  • Yoneda Kazuhiro
    Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine
  • Shimazaki Junya
    Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine
  • Oda Jun
    Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine

Bibliographic Information

Other Title
  • 心停止を生じた肝・総胆管損傷に対してdamage control surgery を行い救命した1症例

Abstract

A 27-year-old male involved in a traffic accident was admitted with a positive Focused Assessment with Sonography for Trauma （FAST） indicating shock. After intubation, he suffered imminent cardiac arrest but was successfully surgery, laparotomy was performed, and gauze packing was applied to the liver injury. Subsequently, Open Abdomen Management （OAM） was implemented. After rewarming and transfusion, re-laparotomy was performed 12 hours later, a complete bile duct transection was diagnosed and treated with liver suturing and external biliary drainage, maintaining OAM. After 38hours, choledocho-jejunostomy was performed, followed by OAM. Despite intestinal edema, closure was achieved through a skin graft procedure. The patient was discharged on the 52nd day, having recovered without complications. This case highlights the efficacy of damage control surgery and early functional reconstruction in saving a patient with a complete bile duct injury.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390862632717142016
  • DOI
    10.50840/jjacs.14-04
  • ISSN
    2436102X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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