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Archivos argentinos de pediatría
versión impresa ISSN 0325-0075versión On-line ISSN 1668-3501
Resumen
GALLEGOS CHAVEZ, Diego F et al. Minimally invasive treatment of biliary tract injury secondary to closed abdominal trauma: Clinical case. Arch. argent. pediatr. [online]. 2018, vol.116, n.6, pp.e778-e781. ISSN 0325-0075. http://dx.doi.org/10.5546/aap.2018.e778.
Hepatic and biliary tract injuries due to traumatic causes are rare in pediatric patients. Of the total number of patients with closed abdominal trauma, less than 9 % have liver injury, and the frequency varies between 2 and 3 % of biliary tract lesions. Currently, the recommended treatment for closed abdominal trauma with liver injury without hemodynamic repercussion is conservative. In case of presenting intra or extrahepatic biliary tract lesion, the preferred approaches are minimally invasive, such as percutaneous or endoscopic surgery, using laparotomy in selected cases. We present the case of a patient with closed abdominal trauma and liver trauma, initially laparotomized on 2 occasions due to hemodynamic instability and hemoperitoneum; presented a subdiaphragmatic and coleperitoneal bilioma; it was performed minimally invasive percutaneous drainage under tomographic control.
Palabras clave : Abdominal injuries; Liver; Bile ducts; Surgery; Pediatrics.