Severe liver trauma with complex portal and common bile duct avulsion: A case report and review of the literature

Figure 1 Preoperative computed tomography scan image performed upon admission in our tertiary hepato-bilio-pancreatic referral center. A: Ischemic right hemiliver post-right hepatic pedicle ligation upon damage control surgery; B: Right hepatic pedicle ligated proximally.

Figure 2 Intraoperative aspect. A: Sectioned common hepatic duct, prepared for the hepaticojejunostomy; B: Finished hepaticojejunostomy.

Figure 3 Gross pathology of the resected right hemiliver.

Figure 4 Postresection computed tomography scan image. A: Remnant left hemiliver showing no ischemic regions; B: Image showing the left portal vein branches.

Figure 5 Postoperative aspect. A: The surgical incisional site evisceration managed by negative-pressure wound therapy on the 48^th postoperative day (POD); B: 18^th POD aspect showing the surgical incisional site evisceration; C: 48^th POD aspect showing the surgical incisional site evisceration managed by negative-pressure wound therapy; D: 4 mo postoperative aspect showing the chronological evolution of the surgical incisional site evisceration managed by negative-pressure wound therapy; E: 55 mo postoperative aspect showing the chronological evolution of the surgical incisional site evisceration following negative-pressure wound therapy.