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[Non-operative management of a hepatic pseudoaneurysm and a biloma complicating a blunt abdominal trauma]. / Traitement conservateur d'un traumatisme hépatique fermé compliqué d'un pseudoanévrisme et de biliomes.
Schott, A; Michel, F; Chaumoître, K; Merrot, T; Desjeux, A; Lagier, P; Martin, C.
Afiliação
  • Schott A; Unité de réanimation pédiatrique et néonatale et unité des brûlés pédiatriques, pôle RAUC, CHU Nord, université de la Méditerranée, chemin des Bourrely, 13915 Marseille cedex 20, France.
Ann Fr Anesth Reanim ; 27(5): 438-41, 2008 May.
Article em Fr | MEDLINE | ID: mdl-18440759
Hepatic artery pseudoaneurysm and bilioma are rare complications of blunt abdominal trauma in children. We report a case in an 11-year-old patient after a hepatic and splenic blunt trauma following a car accident. The initial evolution was simple with haemodynamic stability. On Day 12, a pseudoaneurysm was discovered on an abdominal magnetic resonance imaging whereas the patient presented a major pain syndrome and an icteric cholestase. Embolisation was realised a few hours later in emergency because of a haemorrhagic shock. On Day 26, an endoscopic retrograde cholangiopancreatography highlighted two bilary leaks: one extrahepatic, the other intrahepatic. The first one was treated with a stent and the second one needed three drains: two peritoneal and one in the biloma. The characteristic of this case relies on the association of two complications. It underlines the need of multidiscipline and non-operative management of pediatric blunt hepatic trauma.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Baço / Ferimentos não Penetrantes / Bile / Falso Aneurisma / Artéria Hepática / Traumatismos Abdominais / Fígado Limite: Child / Humans / Male Idioma: Fr Ano de publicação: 2008 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Baço / Ferimentos não Penetrantes / Bile / Falso Aneurisma / Artéria Hepática / Traumatismos Abdominais / Fígado Limite: Child / Humans / Male Idioma: Fr Ano de publicação: 2008 Tipo de documento: Article