Selective surgical ligation for post-traumatic arterio-biliary fistula
Blunt abdominal trauma is a rare cause of intra-hepatic arterio-biliary fistula and pseudo-aneurysm. Surgery often indicated in cases that fail transcatheter arterial embolization (TAE). In this report we present a case of post-traumatic arterio-biliary fistula with intra-hepatic pseudo-aneurysm in...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-03-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576617301379 |
| _version_ | 1818470417143169024 |
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| author | Walid Elhaj Abdelrahim Abdelrahim Ali Dabora Kamal Elzaki Elsiddig Michail Papamichail Eltahir Awad Gasim Khalil Mohamed Elhassan Akoad |
| author_facet | Walid Elhaj Abdelrahim Abdelrahim Ali Dabora Kamal Elzaki Elsiddig Michail Papamichail Eltahir Awad Gasim Khalil Mohamed Elhassan Akoad |
| author_sort | Walid Elhaj Abdelrahim |
| collection | DOAJ |
| description | Blunt abdominal trauma is a rare cause of intra-hepatic arterio-biliary fistula and pseudo-aneurysm. Surgery often indicated in cases that fail transcatheter arterial embolization (TAE). In this report we present a case of post-traumatic arterio-biliary fistula with intra-hepatic pseudo-aneurysm in a 10-year-old female patient. She presented with two episodes of massive hematemesis/melena and severe colicky epigastric pain of 5 days duration. Following informed consent from guardians, intra-operative ultrasound-guided selective clamping and ligation of liver segment 4 arterial and portal branches was performed. In conclusion, blunt abdominal trauma to liver can results in life-threatening arterio-biliary fistula and/or peudo-aneurysm. Selective ligation of pseudo-aneurysm feeders under intra-operative ultrasound guidance is recommended in resource–limited settings when interventional radiology is not available. |
| first_indexed | 2024-04-13T21:36:11Z |
| format | Article |
| id | doaj.art-9336685436364ff6b92ec375b4952d87 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-13T21:36:11Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-9336685436364ff6b92ec375b4952d872022-12-22T02:28:56ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-03-0130C71010.1016/j.epsc.2017.10.004Selective surgical ligation for post-traumatic arterio-biliary fistulaWalid Elhaj Abdelrahim0Abdelrahim Ali Dabora1Kamal Elzaki Elsiddig2Michail Papamichail3Eltahir Awad Gasim Khalil4Mohamed Elhassan Akoad5Department of Surgery, Faculty of Medicine, University of Khartoum, P.O. Box 102, SudanDepartment of Surgery, Faculty of Medicine, University of Khartoum, P.O. Box 102, SudanDepartment of Surgery, Faculty of Medicine, University of Khartoum, P.O. Box 102, SudanLahey Clinic, Department of Transplantation, 41 Mall Road, Burlington, MA 01805, USAInstitute of Endemic Diseases, University of Khartoum, POB 45235, SudanLahey Clinic, Department of Transplantation, 41 Mall Road, Burlington, MA 01805, USABlunt abdominal trauma is a rare cause of intra-hepatic arterio-biliary fistula and pseudo-aneurysm. Surgery often indicated in cases that fail transcatheter arterial embolization (TAE). In this report we present a case of post-traumatic arterio-biliary fistula with intra-hepatic pseudo-aneurysm in a 10-year-old female patient. She presented with two episodes of massive hematemesis/melena and severe colicky epigastric pain of 5 days duration. Following informed consent from guardians, intra-operative ultrasound-guided selective clamping and ligation of liver segment 4 arterial and portal branches was performed. In conclusion, blunt abdominal trauma to liver can results in life-threatening arterio-biliary fistula and/or peudo-aneurysm. Selective ligation of pseudo-aneurysm feeders under intra-operative ultrasound guidance is recommended in resource–limited settings when interventional radiology is not available.http://www.sciencedirect.com/science/article/pii/S2213576617301379Blunt abdominal traumaHemobiliaArterio-biliary fistula |
| spellingShingle | Walid Elhaj Abdelrahim Abdelrahim Ali Dabora Kamal Elzaki Elsiddig Michail Papamichail Eltahir Awad Gasim Khalil Mohamed Elhassan Akoad Selective surgical ligation for post-traumatic arterio-biliary fistula Journal of Pediatric Surgery Case Reports Blunt abdominal trauma Hemobilia Arterio-biliary fistula |
| title | Selective surgical ligation for post-traumatic arterio-biliary fistula |
| title_full | Selective surgical ligation for post-traumatic arterio-biliary fistula |
| title_fullStr | Selective surgical ligation for post-traumatic arterio-biliary fistula |
| title_full_unstemmed | Selective surgical ligation for post-traumatic arterio-biliary fistula |
| title_short | Selective surgical ligation for post-traumatic arterio-biliary fistula |
| title_sort | selective surgical ligation for post traumatic arterio biliary fistula |
| topic | Blunt abdominal trauma Hemobilia Arterio-biliary fistula |
| url | http://www.sciencedirect.com/science/article/pii/S2213576617301379 |
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