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- Petr Chmátal, Miroslav Zavoral, Pavel Fencl, Ladislav Lednický, and Filip Závada.
- Department of Surgery, Central Military Hospital, Praha, Czech Republic. Chmatal@seznam.cz
- Int Surg. 2004 Apr 1;89(2):67-71.
AbstractDuring the process of treating a complicated gunshot wound of an upper limb, chest, abdomen, and spine, there appeared--sometime after the initial treatment--a necrosis of the right hepatic duct in the bullet path within the liver. Although laparotomy was the life-saving operation during the first and second period, the final diagnosis and solution were based on bypassing the defect, i.e., a combination of a percutaneous and endoscopic approach. The efficiency of this method was also proved by an examination carried out 1 year after the end of the treatment.
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