TITLE:
Management of Traumatic Bile Leakage
AUTHORS:
Naoki Hashimoto
KEYWORDS:
Bile Leak, Blunt Liver Injury, ERCP, TAE
JOURNAL NAME:
Open Access Library Journal,
Vol.6 No.7,
July
18,
2019
ABSTRACT: Major bile leak after blunt liver trauma (BLT) is rare but challenging. Data on endoscopic management of traumatic bile leaks are scare. We conducted a ret-rospective review to evaluate the role of Endoscopic retrograde cholangi-ography (ERCP) in the management of bile leaks following blunt abdominal trauma. In addition to a high grade injury, centrally-located liver injuries and initial TAE are also a significant risk factor for major bile duct injury. When patients after BLT are suffering from high fever, persistent abdominal pain or fullness, gross jaundice, we perform abdominal CT to detect intraabdominal fluid collection. If we aspirated bile from intraabdominal fluid, we made a di-agnosis of bile duct injury highly possible and ERCP therapy was indicated due to high possibility of major bile leak and to provide early intervention.