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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 137 - 140 (4page)
- DOI
- 10.17479/jacs.2021.11.3.137
이용수
초록· 키워드
오류제보하기
Non-operative management of blunt liver injury has been demonstrated as a safe and effective treatment for most grades of injury. As the severity of liver injury increases, so does the risk of complications. A 21-year-old male was brought to the trauma center following a high speed motorbike accident. He underwent a laparotomy and angioembolization for a Grade 4 liver injury. A biloma was diagnosed on Day 18 post injury, and he underwent Endoscopic Retrograde Cholangiopancreatography and biliary stenting which were unsuccessful. There were 2 re-admissions for infected perihepatic collections. In this case, an Endoscopic Retrograde Cholangiopancreatography was not a helpful procedure due to a disconnected liver segment, and morbidity occurred due to instrumentation of the biliary tree (the likely cause of infected biloma). Hepatic resection should be considered for patients who fail non-operative management. Further assessment of efficacy using a larger dataset for analysis is required.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Tinkoff G / 2008 / American Association for the Surgery of Trauma Organ Injury Scale I: Spleen, liver, and kidney, validation based on the National Trauma Data Bank / J Am Coll Surg 207(5):646~655
van der Wilden GM / 2012 / Successful nonoperative management of the most severe blunt liver injuries : A multicenter study of the research consortium of new England centers for trauma / Arch Surg 147(5):423~428
Bouras AF / 2010 / Management of blunt hepatic trauma / J Visc Surg 147(6):e351~e358
Kozar RA / 2005 / Complications of nonoperative management of high-grade blunt hepatic injuries / J Trauma 59(5):1066~1071
Vassiliu P / 2004 / A prospective study of post-traumatic biliary and pancreatic fistuli. The role of expectant management / Injury 35(3):223~227
van der Wilden GM / 2012 / Successful nonoperative management of the most severe blunt liver injuries : A multicenter study of the research consortium of new England centers for trauma / Arch Surg 147(5):423~428
Bouras AF / 2010 / Management of blunt hepatic trauma / J Visc Surg 147(6):e351~e358
Kozar RA / 2005 / Complications of nonoperative management of high-grade blunt hepatic injuries / J Trauma 59(5):1066~1071
Vassiliu P / 2004 / A prospective study of post-traumatic biliary and pancreatic fistuli. The role of expectant management / Injury 35(3):223~227
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