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Case Reports
. 2021 Mar 18:33:100468.
doi: 10.1016/j.tcr.2021.100468. eCollection 2021 Jun.

Use of glue embolization in management of traumatic bile leak: A case report

Kasiemobi Pulliam  1 , Meera Kotagal  2   1 , Tom K Lin  3   4 , Manish N Patel  5   6
Affiliations
Case Reports

Use of glue embolization in management of traumatic bile leak: A case report

Kasiemobi Pulliam et al. Trauma Case Rep. .

Erratum in

Abstract

Blunt abdominal trauma is a common cause of solid organ injury in children. Nonoperative management has been established as the standard of care for suspected liver and spleen injuries without peritonitis. Major ductal injury with resultant biloma is a rare complication of nonoperative management of blunt liver injury. Endoscopic retrograde cholangiopancreatography (ERCP) and/or percutaneous drain placement are considered to be safe adjuncts in the management of these bile leaks. However, in the rare cases of persistent bile leak, further nonoperative alternatives have not been reported. In this case report we present a novel multidisciplinary approach to managing persistent bile leaks in blunt liver injury.

Keywords: Bile leak; Blunt abdominal trauma; Liver injury; Nonoperative management; Pediatric injury.

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Figures

Fig. 1
Fig. 1
Coronal reformatted CT with contrast demonstrating a wedge-shaped area of low attenuation (arrows) with capsular fluid collection (*) consistent with a grade IV liver laceration with hemorrhage.
Fig. 2
Fig. 2
Contrast injection via a microcatheter placed via ERCP catheter demonstrating intrahepatic biliary injury (black arrow) with contrast extravasation toward the liver dome (yellow arrow) at site of bile leak.
Fig. 3
Fig. 3
Static fluoroscopic image following glue injection demonstrating cast of glue (yellow arrows) within site of intrahepatic biliary injury and peripheral biliary duct leading to site of biliary leak at the dome of the liver.
Fig. 4
Fig. 4
Contrast injection through ERCP catheter at conclusion of the procedure. Contrast (black arrow) extends up to the site of biliary leak/glue cast (yellow arrow) but not into the intrahepatic biliary injury or to the site of biliary leak.
See this image and copyright information in PMC

References

    1. Control NCfIPa. Injury prevention & control. https://www.cdc.gov/injury/wisqars/LeadingCauses.html. Published 2018. (Accessed).
    1. Moore E.E., Shackford S.R., Pachter H.L. Organ injury scaling: spleen, liver, and kidney. J. Trauma. 1989;29(12):1664–1666. - PubMed
    1. Notrica D.M., Eubanks J.W., 3rd, Tuggle D.W. Nonoperative management of blunt liver and spleen injury in children: evaluation of the ATOMAC guideline using GRADE. J. Trauma Acute Care Surg. 2015;79(4):683–693. - PubMed
    1. Giss S.R., Dobrilovic N., Brown R.L., Garcia V.F. Complications of nonoperative management of pediatric blunt hepatic injury: diagnosis, management, and outcomes. J. Trauma. 2006;61(2):334–339. - PubMed
    1. Kulaylat A.N., Stokes A.L., Engbrecht B.W., McIntyre J.S., Rzucidlo S.E., Cilley R.E. Traumatic bile leaks from blunt liver injury in children: a multidisciplinary and minimally invasive approach to management. J. Pediatr. Surg. 2014;49(3):424–427. - PubMed

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