TY - JOUR
AR - SCR-2020-7-107
TI - A Bullet Injury to the Liver Complicated by Biliary Broncho Pleural Fistula and IVC Thrombosis: Case Presentation and Review for Management Guidelines
AU - Arwa El, Rifai
AU - M. , Zorkot
AU - S. , Emsieh
AU - G. Abi , Saad
JO - Surgical Case Reports
PY - 2020
DA - Fri 10, Jul 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.07.07
UR - https://www.sciencerepository.org/a-bullet-injury-to-the-liver-complicated-by-biliary-broncho_SCR-2020-7-107 
KW - Trauma, IVC, liver, biliary-bronchopleural fistula
AB - 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