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Drip Infusion Cholangiography with Computed Tomography in the Evaluation of Bile Leakage after Blunt Liver Trauma in Children: Two Case Reports
Oct 13, 2016
A 5 year old boy was admitted at the emergency room after having been run over by a car. He sustained bilateral hemopneumothorax, bilateral pulmonary contusion, right kidney injury, an unstable pelvic ring fracture, and a right femoral neck fracture. He was intubated and fluid resuscitation was commenced. Bilateral chest tubes were inserted because of hemopneumothorax.
An 11-year-old girl was admitted to a local community hospital after having fallen nearly 2 m onto solid concrete. A CT scan of the abdomen with intravenous contrast revealed a liver laceration and small amount of free intraperitoneal blood. Fluid resuscitation was commenced, and she was transferred to our hospital.
Drip Infusion Cholangiography with Computed Tomography
Bile duct injury following blunt liver injury is rare, and the precise site of bile leakage is often difficult to identify with noninvasive techniques.