Combination of intraoperative ultrasonography with methylene blue for the management of hepatic trauma

Volume: 47 Number: 2 June 1, 2008
  • Aydın U
  • Yazıcı P
  • Yeniay L
  • Özsoy M
  • Çoker A
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Combination of intraoperative ultrasonography with methylene blue for the management of hepatic trauma

Abstract

Background and aim: Liver injury is regarded 10% of whole abdominal injuries. Of these, 25.8% occurs due to gun shot and needs to be explored surgically. This report emphasizes the efficacy of different combination of diagnostic methods in the management of high grade liver injuries. Case presentation: A 55-year-old man with a gun shot injury was brought to the emergency service. Once fluid resuscitation was initiated, physical examination an entrance wound on the sternoxiphoid junction and an exit wound on the right 12th rib in the midclavicular line. After plain chest x-ray and ultrasonography revealing pneumothorax and free fluid, respectively, he promptly underwent exploratory laparotomy. The bullet passing through the segment 3, 4b, 5 and 6 was determined. Intraoperative ultrasonography and metyhlene blue injection methods were jointly used to evaluate the vascular structures and biliary tree respectively. After pringle maneuver was performed, the portal vein, hepatic artery and vein of the disrupted segment 6 were ligated and injury of the bile duct of the segment 6 was also repaired. He recovered without any complication and was discharged from the hospital on the postoperative day 7. Conclusion: Combination of intraoperative ultrasonography for vascular evaluation with methylene blue injection for bile duct examination is a contributive factor for operative outcome, maintaining shorter time and minimalized traumatization during operation.

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Primary Language

Turkish

Subjects

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Journal Section

-

Authors

Aydın U

Yazıcı P

Yeniay L

Özsoy M

Çoker A

Publication Date

June 1, 2008

Submission Date

June 1, 2008

Acceptance Date

-

Published in Issue

Year 2008 Volume: 47 Number: 2

IZ

https://izlik.org/JA88SC63AF

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Vancouver
1.Aydın U, Yazıcı P, Yeniay L, Özsoy M, Çoker A. Karaciğer travmasına yaklaşımda intraoperatif doppler ultrasonografi ile metilen mavisinin kombine kullanımı. EJM [Internet]. 2008 Jun. 1;47(2):123-6. Available from: https://izlik.org/JA88SC63AF

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