PMC7306525_01
Liver laceration with T- tube inserted into the common bile duct.
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Subsequently, cholecystectomy, insertion of biliary T-tube and intraoperative cholangiography were performed (Fig. 1).
The cholangiography through the T-drain on the 5th postoperative day. Leakage from left hepatic duct is seen. There is a small collection of contrast in the right biliary tree. Normal opacification of the common hepatic duct and common bile duct is noted.
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The common hepatic duct and common bile duct were otherwise intact and draining of contrast media to the duodenum was observed (Fig. 2).
The cholangiography performed on 18th postoperative day. Normal opacification of the intra and extra-hepatic biliary channels are noted without signs of biliary leakage. Normal opacification of the duodenum is seen as well.
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ALT and ALS levels following liver laceration. In the course of the inpatient hospital treatments, the values of liver enzymes ALT and ALS decreased to normal levels.
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The patient was asymptomatic and feeling well, and we noted a decline of the previously elevated liver enzymes (ALT and ALT) (Fig. 4).