| ISSN |
2307-8960 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
Copyright: © The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
|
| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
|
| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Case Report |
| Article Title |
Severe liver trauma with complex portal and common bile duct avulsion: A case report and review of literature
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Bianca Mitricof, Alin Kraft, Florentina Anton, Alexandru Barcu, Darina Barzan, Carmen Haiducu, Vladislav Brasoveanu, Irinel Popescu, Cosmin Alec Moldovan and Florin Botea |
| ORCID |
|
| Funding Agency and Grant Number |
|
| Corresponding Author |
Cosmin Alec Moldovan, MD, PhD, Associate Professor, Department of Medical-Surgical and Prophylactic Disciplines, Faculty of Medicine, Titu Maiorescu University of Bucharest, <italic>Correspondence to:</italic> Dr Cosmin Moldovan, Faculty of Medicine, ‘Titu Maiorescu’ University of Bucharest, 67A Gheorghe Pătrașcu Street, 031593 Bucharest, Romania <email>cosmin.moldovan@prof.utm.ro</email>, Bucharest 031593, Romania. cosmin.moldovan@prof.utm.ro |
| Key Words |
Severe; Liver; Trauma; Avulsion; Right portal vein; Common bile duct; Case report |
| Core Tip |
The paper analyzes a rare and difficult case of a 38-year-old male patient that presented to the nearest emergency hospital for polytrauma secondary to crush injury, which mainly resulted in a severe liver trauma associated with vascular and biliary injury (grade V liver trauma with severe laceration involving more than 75% of the right hemiliver, injury of the right portal vein and common bile duct). Its management consisted in emergency damage control surgery for hemostasis by vascular ligation and packing in a primary trauma center, followed by major liver resection (right hepatectomy) and biliary reconstruction in a tertiary hepato-bilio-pancreatic (HBP) center. The patient recovered well with no long-term complications and had a follow-up ultrasound that showed no complications. Currently, the overall survival is 55 mo. In conclusion, the current case clearly supports that a favorable outcome in severe liver trauma with associated vascular and biliary injuries is achieved thru proper therapeutical management, conducted in a tertiary referral HBP center, where stepwise and complex surgical approach is mandatory. |
| Publish Date |
2023-06-02 11:04 |
| Citation |
Mitricof B, Kraft A, Anton F, Barcu A, Barzan D, Haiducu C, Brasoveanu V, Popescu I, Moldovan CA, Botea F. Severe liver trauma with complex portal and common bile duct avulsion: A case report and review of the literature. World J Clin Cases 2023; 11(16): 3837-3846 |
| URL |
https://www.wjgnet.com/2307-8960/full/v11/i16/3837.htm |
| DOI |
https://dx.doi.org/10.12998/wjcc.v11.i16.3837 |
