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2005, Número 2

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Rev Mex Cir Pediatr 2005; 12 (2)


Lesión biliar intrahepática: manejo conservador mediante drenaje externo

González-Carballeda F, Nava-Carrillo AD, Romero-Terán O, González CR

Idioma: Español
Referencias bibliográficas: 23
Paginas: 115-118
Archivo PDF: 229.73 Kb.


RESUMEN

Introducción: La lesión de la vía biliar después de un trauma abdominal es poco frecuente, pero es importante tener en mente que puede causar una mayor morbilidad y prolongar la estancia intrahospitalaria de los pacientes cuando no se diagnostica.
Caso clínico: Se presenta un caso de trauma abdominal cerrado, con laceración hepática y que se complico con una lesión biliar intrahepática.
Discusión: El manejo conservador mediante el drenaje percutaneo externo es una alternativa de tratamiento en pacientes con lesión biliar intrahepática.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Roche B, Mentha G, Bugmann P, et al. Intrahepatic biliary lesions following blunt liver trauma in children—is nonoperative management or conservative operative treatment always Safe? Eur J Pediatr Surg 1993; 3: 209-12.

  2. Romero TO, Mora FJ, Torres CL, Andrade SV, Nolasco JR, Castrejón RG. Lesión hepatobiliar severa. Diagnostico y manejo. Rev Mex Cirugía Pediatr 1998; 5: Enero-Mar.

  3. Soliman BY, Abdullah AI, Rabea AA. An unusual bile duct injury in Child after blunt abdominal trauma. J Pediatri Surg 1999; 24: 1161-3.

  4. Ivatury RR, Rohman M, Hellathambi M, et al: The morbidity of injuries of the extra-hepatic system. J Trauma 1985; 25: 967-73.

  5. Charters AC, Bardin J: Intrahepatic bile duct rupture. Fellowing blunt abdominal trauma. Arch Surg 1978; 113: 873-6.

  6. Noone RB, Mackie JA, Stoner R: Liver and bile duct laceration from blunt abdominal trauma in children. Ann Surg 1967; 166: 824-8.

  7. Hollands MJ, Little JM: The role of hepatic resection in the manegement of blunt liver trauma. Wordl J Surg 1990; 14: 478-82.

  8. Oldham KT, Guide KS, Rychmann F, Kaufmann RA: Blunt liver injury in childhood: Evoluction of therapy and current perspective. J Pediatr Surg 1986; 100: 542-9.

  9. Vock P, Kehrer B, Tschaeppeler H: Blunt liver trauma in children. The role of computed tomography in diagnosis and treatment. J Pediatr Surg 1986; 21: 413-8.

  10. Sharif K, Pimpalwar AP, John P, Johnson K, Donnell S, De Ville De Goyet J:

  11. Benefits of early diagnosis and preemptive treatment of biliary tract complications after major blunt liver trauma in children. J Pediatr Surg 2002; 37: 1287-92.

  12. Sharpe RP, Nance ML, Stafford PW: Nonoperative managemente of blunt extrahepatic biliary duct transection in the pediatric patient: case report and review of the literature. J Pediatr Surg 2002; 37: 1612-6.

  13. Roche B, Mentha G, Bugmann P, et al. Intrahepatic biliary lesions following blunt liver trauma in children—is nonoperative management or conservative operative treatment always Safe? Eur J Pediatr Surg 1993; 3: 209-12.

  14. Romero TO, Mora FJ, Torres CL, Andrade SV, Nolasco JR, Castrejón RG. Lesión hepatobiliar severa. Diagnostico y manejo. Rev Mex Cirugía Pediatr 1998; 5: Enero-Mar.

  15. Soliman BY, Abdullah AI, Rabea AA. An unusual bile duct injury in Child after blunt abdominal trauma. J Pediatri Surg 1999; 24: 1161-3.

  16. Ivatury RR, Rohman M, Hellathambi M, et al: The morbidity of injuries of the extra-hepatic system. J Trauma 1985; 25: 967-73.

  17. Charters AC, Bardin J: Intrahepatic bile duct rupture. Fellowing blunt abdominal trauma. Arch Surg 1978; 113: 873-6.

  18. Noone RB, Mackie JA, Stoner R: Liver and bile duct laceration from blunt abdominal trauma in children. Ann Surg 1967; 166: 824-8.

  19. Hollands MJ, Little JM: The role of hepatic resection in the manegement of blunt liver trauma. Wordl J Surg 1990; 14: 478-82.

  20. Oldham KT, Guide KS, Rychmann F, Kaufmann RA: Blunt liver injury in childhood: Evoluction of therapy and current perspective. J Pediatr Surg 1986; 100: 542-9.

  21. Vock P, Kehrer B, Tschaeppeler H: Blunt liver trauma in children. The role of computed tomography in diagnosis and treatment. J Pediatr Surg 1986; 21: 413-8.

  22. Sharif K, Pimpalwar AP, John P, Johnson K, Donnell S, De Ville De Goyet J: Benefits of early diagnosis and preemptive treatment of biliary tract complications after major blunt liver trauma in children. J Pediatr Surg 2002; 37: 1287-92.

  23. Sharpe RP, Nance ML, Stafford PW: Nonoperative managemente of blunt extrahepatic biliary duct transection in the pediatric patient: case report and review of the literature. J Pediatr Surg 2002; 37: 1612-6.




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