ATE�L� S�LAH YARALANMASINA BA�LI OLU�AN TORAKOB�L�YER F�ST�LLER�N TANI VE TEDAV�S�

Posac�o�lu, Hakan; �en, Serdar; ��k�r�k��o�lu, Mustafa; Tavlan, �brahim; Soydemir, H�seyin; Ko�ar, Altu�; B�lb�l, Ercan; Ak�n, Abdullah

Cilt : 30 Say� : 12 Y�l : 2024

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H�zl� Arama

ATE�L� S�LAH YARALANMASINA BA�LI OLU�AN TORAKOB�L�YER F�ST�LLER�N TANI VE TEDAV�S� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2000; 6(1): 61-65

ATE�L� S�LAH YARALANMASINA BA�LI OLU�AN TORAKOB�L�YER F�ST�LLER�N TANI VE TEDAV�S�

Hakan Posac�o�lu¹, Serdar �en¹, Mustafa ��k�r�k��o�lu¹, �brahim Tavlan¹, H�seyin Soydemir¹, Altu� Ko�ar¹, Ercan B�lb�l¹, Abdullah Ak�n¹
Diyarbak�r Asker Hastanesi, Kalp-Damar Cerrahisi, G��s Cerrahisi ve Genel Cerrahi Klini�i

Karaci�er absesi, subfrenik abseler yada safra yolu obstr�ksiyonlar� torakobiliyerfist�l olu�umunun ba�l�ca nedenleridir. Torakoabdominal yaralanma sonucu olu�an hepatik travmaya ba�l� torakobiliyer fist�l olu�umu ise olduk�a nadirdir. Bu t�r travmalarda meydana gelen hepatik ve diyafragma yaralanmalar�n�n tan�s� ve tedavisindeki gecikmeler morbidite ve mortalitenin artmas�na neden olmaktad�r. Ayn� zamanda travmatik torakobiliyer fist�llerin nadir g�r�lmesinden dolay� bu konuda yeterli tecr�beye sahip cerrah say�s� da olduk�a azd�r. Makalemizde torakoabdominal yaralanma nedeniyle yap�lan takip ve tedavilerinde torako-biliyer fist�l saptanan 3 hasta �ngilizce literat�rde �imdiye kadar yay�nlanan 35 olgu e�li�inde incelenmi�tir.

Anahtar Kelimeler: TORAKS TRAVMASI, ATE�L� S�LAH YARALANMASI, TORAKOB�L�YER F�ST�L

TRAUMATIC THORACOBILIARY FISTULAS: DIAGNOSIS AND TREATMENT

Thoracobiliary fistulas are commonly reported complications of subphrenic or liver abscesses and biliary tract obstruction. However, they are a rare and unusual complication of hepatic trauma due to traumatic thoracoabdominal wounds. Errors in diagnosis and management of the initial injury involving the diaphragm and liver may increase morbidity and mortality. Due to rarity, the experience of any one surgeon is minimal, and there is a paucity of information available in the literature regarding their treatment. In this report three patients with post-traumatic thoraco-biliary fistula are presented and thirty-five cases previously described in the English literature are reviewed.

Keywords: THORACIC TRAUMA, PENETRATING THORACIC INJURIES, THORACOBILIARY FISTULA

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