Abstract
INTRODUCTION: Persistent bile leakage is a known complication following surgery to control bleeding from severe liver injuries. CASE PRESENTATION: A 51-year-old Japanese man presented to our hospital in shock following a collision between his motorcycle and a car. He underwent immediate surgery, in which a liver laceration was repaired with pledgeted sutures. Persistent bile leakage from the sutured hepatic site could be controlled post-operatively with stents, but the sutured hepatic site was found to be infected. A partial liver resection was eventually performed to successfully manage the infection. CONCLUSION: Clinicians should consider surgical intervention for cases of persistent infection after failed conservative treatment for severe liver injury.