RESUMO
We represented two injuries of extrahepatic bile ducts upon our clinics materijal within last ten years. With the first case we had isolated rupture calculus gallbladder by closed abdominal injury. Secend case had opend abdominal injury and rupture of gallbladder and common bile duct. We faund gallbladder teard off in Douglas spece. We solved both cases succesfully with cholecystectomy and in secend case we also aplied suture of common bile duct with T tube drainage.
Assuntos
Ducto Colédoco/lesões , Vesícula Biliar/lesões , Adolescente , Adulto , Humanos , MasculinoRESUMO
Experience gained from 80 ceses of liver injuries which have been under treatment at the Clinic of Surgical Diseases in Novi Sad in the period from 1967 to 1978 has been presented in this article. The number of liver injuries has amounted to 0,3% from a total of 23.300 injuried persons who have undergone the treatment at this clinic. The problems of dealing with liver injuries, especially those which can be expected in wartime, have been particularly emphasize.
Assuntos
Fígado/lesões , HumanosRESUMO
Liver abscesses represent a rare complication of inflammatory and calculous disease of the biliary system and are enhanced by tardy or delayed removal of the primary cause. Being the result of liver necrosis and depending on its extension they appear in polymorphous pattern and have the tendency to spread through the diaphragm into the chest. The differential diagnosis is not easy: from common cholangitis to sporadic necrosis of liver malignancy, suppurated hydatid cyst and other diseases. The best prophylaxis and the highest recovery rate is achieved by taking up an active surgical approach at the first signs of severe infection, especially in cases of relapse and of prolonged septic evolution in spite of the use of antibiotics and/or the (first) operative procedure. The choice of surgical procedure depends on local findings. An exceptional diagnostic difficulty represent the cases of suppurated intraheptic lithiasis.
