ArticleCureus2025
High-Output Bile Leak Following AAST Grade III Liver Injury Resolved With Endoscopic Stenting: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nonoperative management (NOM) has become the standard of care for hemodynamically stable blunt liver trauma; however, biliary complications may delay recovery. We report the case of a previously healthy 20-year-old man who sustained an AAST Grade III liver laceration in a motor vehicle collision and subsequently developed a high-output intrahepatic bile leak. An ultrasound-guided percutaneous drain initially produced 880 mL/day, with the output remaining elevated at approximately 450 mL/day. Endoscopic retrograde cholangiopancreatography (ERCP) demonstrated extravasation from a posterior branch of the right intrahepatic duct. Placement of a 7-Fr transpapillary plastic stent (endoscopic retrograde biliary drainage, ERBD) resulted in rapid reduction and eventual cessation of bile output, with closure confirmed on tubography and drain removal on hospital day (HD) 42. The patient recovered without surgical intervention and remained well on follow-up. This case illustrates that clinically significant bile leakage can occur even after moderate liver injury and highlights a step-up management strategy, percutaneous drainage followed by ERCP, that can be effectively applied in resource-limited community hospitals.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.