Tuesday, January 8, 2013

CASE : Emergency left hepatectomy for trauma and biliary leak

young male with alleged h/o trauma and liver tare, CECT s/o near complete transection of left lateral segment of liver with mild to moderate amount of free fluid in abdomen

viatly: pt stable initially, upto 6-8 hrs of trauma
Hb stable in 24 hrs but started having distension , distress on repeat usg found to have increase in free fluid

explored suspecting biliary peritonitis and rightly found along with necrotic liver left lateral lobe

surgery: left lateral hepatectomy and cholecystectomy and intra op cholangiogram - to confirm negative bile leak.

patient was discharged uneventfully on POD 7.



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