@article{ref1,
title="A rare case of hepatic duct injury from blunt abdominal trauma",
journal="American journal of case reports",
year="2013",
author="Hasaniya, Nahidh W. and Premaratne, Shyamal and Premaratne, Ishani D. and McNamara, J. Judson",
volume="14",
number="",
pages="106-108",
abstract="BACKGROUND: A 25 year-old male was brought to the emergency room following an apparent suicide attempt by jumping from the fourth floor. CASE REPORT: Patient had a large abdominal laceration in the right upper quadrant (RUQ). CT scan showed a sub-scapular hematoma of the liver. Due to the repeated episodes of hypotension, a laporotomy was performed and the left hepatic artery was ligated while the ductal injury was managed with a Roux-en-Y left hepatic jejunostomy and stent. Bile leakage was resolved post-operatively by day 5 and the patient was discharged home on day 13 after clearance from psychiatry. CONCLUSIONS: While non-iatrogenic extrahepatic biliary trauma is rare, a high degree of suspicion is essential, especially in cases like the one discussed in this report. Diagnosis can be difficult in patients undergoing observation.<p /> <p>Language: en</p>",
language="en",
issn="1941-5923",
doi="10.12659/AJCR.883881",
url="http://dx.doi.org/10.12659/AJCR.883881"
}