Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Cerwenka, H; Werkgartner, G; Bacher, H; el-Shabrawi, A; Mischinger, HJ.
Intrahepatic hematoma with secondary Salmonella infection via biliary fistula.
Hepatogastroenterology. 1997; 44(14):529-532
(- Case Report)
Web of Science
PubMed
- Führende Autor*innen der Med Uni Graz
- Cerwenka Herwig
- Co-Autor*innen der Med Uni Graz
- Bacher Heinz
- Mischinger Hans-Jörg
- Werkgartner Georg
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- Abstract:
- Usually liver hematoma after blunt trauma is treated conservatively as long as clinically possible, in order to avoid infection via drainage. We report a patient who developed a huge liver abscess after a minor blunt trauma caused by a piece of wood that hit his hepatic region during work with a circular saw. Neither conservative treatment nor percutaneous drainage was successful and intraoperatively a biliary fistula was identified as the route of infection by salmonella. Cholecystectomy (here meaning removal of the salmonella reservoir) and consequent drainage of the gall flow via T-drain were the crucial therapeutic steps and the fistula finally closed after three months. Therapeutic possibilities in the management of blunt liver trauma, and biliary and septic complications are discussed.
- Find related publications in this database (using NLM MeSH Indexing)
- Biliary Fistula - complications
- Cholecystectomy -
- Diagnostic Techniques, Surgical -
- Drainage - instrumentation
- Follow-Up Studies -
- Hematoma - etiology Hematoma - surgery
- Humans -
- Liver - injuries
- Liver Abscess - microbiology Liver Abscess - surgery
- Liver Diseases - etiology Liver Diseases - surgery
- Male -
- Middle Aged -
- Occupational Diseases - complications
- Salmonella Infections - surgery
- Salmonella enteritidis - isolation and purification
- Wounds, Nonpenetrating - complications
- Find related publications in this database (Keywords)
- Blunt Liver Trauma
- Liver Hematoma
- Salmonellosis
- Biliary Fistula