A Patient with Fall Trauma-Related Complete Rupture of the Bilateral Hepatic Ducts

Abstract

We report on a patient with a fall trauma-related liver/kidney injury and complete rupture of the bilateral hepatic ducts. The patient was a 20-year-old male who had fallen from some scaffolding (height : approximately 8 m). To treat the liver injury, transcatheter arterial embolization was performed. After hemostasis was confirmed, ascites puncture drainage was performed. Bile excretion was observed. Endoscopic retrograde cholangiography suggested hepatic duct injury. The laparotomy findings included complete rupture of the bilateral hepatic ducts involving the confluence area. Bilateral hepatocholangiojejunostomy was performed. As a stent, a retrograde transhepatic biliary drain was inserted, which was removed after 5 months. The subsequent course has been good without stenosis of the anastomotic sites.