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Adult Blunt Hepatic Trauma algorithm

Adult Blunt Hepatic Trauma Notes:
Introduction
Historic Perspective
Table 1 Note A  Note B Note C Note D Note E Note F Table 3 Note G Note H Note I Note J Note K Note L Note M Note N Note O  Note P References  

  

 
Western Trauma Association
Management of Adult Blunt Hepatic Trauma

 

Annotation for Point M

 

 Biliary complications include biloma, biliary fistula, bile leak, and bile peritonitis. Approximately, one-third of liver-related complications are biliary in nature with an overall incidence of approximately 3%, although higher rates have been reported.28,36,40 Typically, biliary complications present in a delayed fashion in patients with grade 4 injuries.36 A biloma results when bile leaks into the hepatic parenchyma, increasing pressure leads to necrosis, and eventual formation of a biloma.41 Management consists of percutaneous catheter drainage. It is not known whether all asymptomatic bilomas require treatment.

 

  
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