Posttraumatic Intrahepatic Bilioma

Ragavan, M; Duraiprabhu, A.; Madan, Rachna; Murali, K.; Francis, Gary S.; Subramanian, M.

doi:10.1007/s12262-014-1071-0

“…Demographics and Liver trauma Pro le (Table 1) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)]. Univariate analysis showed no difference between these two cohorts in their age and GCS ( Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…LMICs like India contribute to 90% of all the global injury burden, which is a critical public health issue [11]. Most published literature from India are anecdotal or single centre studies with small database [12][13][14][15][16][17]. A multi-centre hospital-based registry can help in better understanding the outcomes in the management of organ-speci c injuries.…”

Section: Introductionmentioning

confidence: 99%

“…In one patient SBP was not recordable.As per the WSES grades of injury, of who underwent OM; 26 (20.3%) were Grade 1, 32 (33.3%) were Grade 2, 11 (15.9%) Grade 3 and 37 (49.3%) Grade 4. The operative management cohort differed from the nonoperative cohort signi cantly in their mean SBP 99(26.2%) vs. 111(21.0%), proportion of penetrating injury 21.7% vs. 4.4%, heart rate 103 (2.4) vs. 97 (18.5)] & ISS 14(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) vs. 17…”

mentioning

confidence: 99%

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Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

Sinha

¹

,

Khajanchi²,

Prajapati³

et al. 2020

Preprint

1

0

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Background Low- and Middle-Income Countries (LMICs) contribute to 90% of injuries occurring in the world. Liver is the one of the commonest organ injured in abdominal trauma. This study aims to highlight the demographic and management profile of liver injury patients, presenting to four urban Indian university hospitals in India. Methods This is a retrospective registry-based study. Data of patients with liver injury either isolated or concomitant with other injuries was used using the ICD-10 code, S36.1 for liver injury. The severity of injury was graded based on the World Society of Emergency Surgery (WSES) grading for liver injuries. Results A total of 368 liver injury patients were analysed. 89% were males, with road traffic injuries being the commonest mechanism. As per World Society of Emergency Surgery (WSES) liver injury grade, there were 126 (33.7%) grade I, 87(23.6%) grade II, 67(18.2%) grade III & 88 (24.5%) grade IV injuries. The overall mortality was 16.6%. 262 patients (71.2%) were managed non-operatively (NOM) & 106 (38.8%) were operated. 90.1% of those managed non-operatively, survived. Conclusion In this multi-centre cohort of liver injury patients from urban university hospitals in India, the commonest profile of patient with a was a young male, with a blunt injury to the abdomen due to a road traffic accident. Success rate of non-operative management of liver injury is comparable to other countries.

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“…LMICs like India contribute to 90% of all the global injury burden, which is a critical public health issue [11]. Most published literature from India is anecdotal or single-centre studies with small database [12][13][14][15][16]. A multicentre hospital-based registry can help in better understanding the outcomes in the management of organ-specific injuries.…”

Section: Introductionmentioning

confidence: 99%

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

Sinha

¹

,

Khajanchi

²

,

Prajapati

³

et al. 2020

View full text Add to dashboard Cite

Background Low- and middle-income countries (LMICs) contribute to 90% of injuries occurring in the world. The liver is one of the commonest organs injured in abdominal trauma. This study aims to highlight the demographic and management profile of liver injury patients, presenting to four urban Indian university hospitals in India. Methods This is a retrospective registry-based study. Data of patients with liver injury either isolated or concomitant with other injuries was used using the ICD-10 code S36.1 for liver injury. The severity of injury was graded based on the World Society of Emergency Surgery (WSES) grading for liver injuries. Results A total of 368 liver injury patients were analysed. Eighty-nine percent were males, with road traffic injuries being the commonest mechanism. As per WSES liver injury grade, there were 127 (34.5%) grade I, 96 (26.1%) grade II, 70 (19.0%) grade III and 66 (17.9%) grade IV injuries. The overall mortality was 16.6%. Two hundred sixty-two patients (71.2%) were managed non-operatively (NOM), and 106 (38.8%) were operated. 90.1% of those managed non-operatively survived. Conclusion In this multicentre cohort of liver injury patients from urban university hospitals in India, the commonest profile of patient was a young male, with a blunt injury to the abdomen due to a road traffic accident. Success rate of non-operative management of liver injury is comparable to other countries.

show abstract

“…LMICs like India contribute to 90% of all the global injury burden, which is a critical public health issue [11]. Most published literature from India are anecdotal or single centre studies with small database [12][13][14][15][16]. A multi-centre hospital-based registry can help in better understanding the outcomes in the management of organ-speci c injuries.…”

Section: Introductionmentioning

confidence: 99%

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

Sinha

¹

,

Khajanchi²,

Prajapati³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background Low- and Middle-Income Countries (LMICs) contribute to 90% of injuries occurring in the world. Liver is the one of the commonest organ injured in abdominal trauma. This study aims to highlight the demographic and management profile of liver injury patients, presenting to four urban Indian university hospitals in India. Methods This is a retrospective registry-based study. Data of patients with liver injury either isolated or concomitant with other injuries was used using the ICD-10 code, S36.1 for liver injury. The severity of injury was graded based on the World Society of Emergency Surgery (WSES) grading for liver injuries. Results A total of 368 liver injury patients were analysed. 89% were males, with road traffic injuries being the commonest mechanism. As per World Society of Emergency Surgery (WSES) liver injury grade, there were 126 (33.7%) grade I, 87(23.6%) grade II, 67(18.2%) grade III & 88 (24.5%) grade IV injuries. The overall mortality was 16.6%. 262 patients (71.2%) were managed non-operatively (NOM) & 106 (38.8%) were operated. 90.1% of those managed non-operatively, survived. Conclusion In this multi-centre cohort of liver injury patients from urban university hospitals in India, the commonest profile of patient with a was a young male, with a blunt injury to the abdomen due to a road traffic accident. Success rate of non-operative management of liver injury is comparable to other countries.

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Posttraumatic Intrahepatic Bilioma

Abstract: Blunt injury abdomen causing biliary injury is rare in children. Collection of bile within or outside the liver after biliary injury is called bilioma. CT scan images of late presenting intra-hepatic bilioma are shown.

Cited by 7 publications

References 4 publications

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

Management of liver trauma in urban university hospitals in India: an observational multicentre cohort study

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