A Bullet Injury to the Liver Complicated by Biliary Broncho Pleural Fistula and IVC Thrombosis: Case Presentation and Review for Management Guidelines

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Author Info

Arwa El Rifai M. Zorkot S. Emsieh G. Abi Saad

Corresponding Author

Arwa El Rifai
Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon

A B S T R A C T

This is a case report of a 20-year-old male who presented to our hospital after sustaining a gunshot to the left upper abdominal quadrant with an exit right below the right scapula. On investigation, he was found to have a large right sided hemothorax and an extensive laceration in the liver. A right chest tube drain was inserted, initially drained blood and days later started draining bile. Consequently, the patient started coughing up bile and diagnosis of a biliary-broncho-pleural fistula was made. ERCP with sphincterotomy and stenting of a left hepatic duct injury was subsequently performed. The patient also developed an IVC thrombus that was discovered incidentally on follow up imaging and was treated with anticoagulation

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Sat 20, Jun 2020
Accepted: Thu 02, Jul 2020
Published: Fri 10, Jul 2020

Copyright

© 2023 Arwa El Rifai. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.07.07