| Traumatic thoracobiliary fistula: report of a case successfully managed conservatively, with an overview of current diagnostic and therapeutic options. | |
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MedLine Citation:
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PMID: 9783629 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Thoracobiliary fistula is a rare complication of hepatic trauma that may present a diagnostic and therapeutic challenge. We report a case of a thoracobiliary fistula complicating thoracoabdominal trauma. Although numerous imaging modalities are able to detect the condition, optimal imaging is achieved with endoscopic retrograde cholangiography, which provides anatomic delineation and has the therapeutic potential of a sphincterotomy. Conservative therapy consists of a safe temporizing measure during the workup and may, on occasion, be the only therapy that is necessary provided that controlled drainage of the fistula is achieved. The current recommendation would be the exhaustion of nonoperative therapeutic modalities before resorting to surgical intervention. |
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Authors:
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M H Sheik-Gafoor; B Singh; J Moodley |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Journal of trauma Volume: 45 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-10-30 Completed Date: 1998-10-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 819-21 Citation Subset: AIM; IM |
Affiliation:
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Department of General Surgery, University of Natal, Medical School, Durban, South Africa. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Injuries
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complications Adult Biliary Fistula / diagnosis, etiology*, therapy Drainage Humans Liver / injuries* Male Pleural Diseases / diagnosis, etiology*, therapy Respiratory Tract Fistula / diagnosis, etiology*, therapy Thoracic Injuries / complications Wounds, Gunshot / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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