EARLY PROFOUND JAUNDICE FOLLOWING BLUNT HEPATIC-TRAUMA - RESOLUTION AFTER LOBECTOMY - CASE-REPORT

The patient presented herein was seen and evaluated following a motor vehicle crash. Although hemodynamically stable, he was found to have a liver injury and orthopedic trauma. Following admission he developed rapidly deepening jaundice. Radiographic studies demonstrated biliary pooling in the left lobe without antegrade obstruction. After a left h epatic lobectomy steady improvement in his hyperbilirubinemia was seen . Despite our inability to identify a communication anatomically in th e resected specimen, one explanation considered was a traumatic fistul ization between a biliary radical and an hepatic vein.