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- ArticleEnneker C, Berens JP.Chirurg. 1978 May;49(5):311-4.A case report of hepatic trauma in a patient with polytrauma. For treatment of a destroying lesion of the right lobe with disruption of the middle hepatic vein right lobectomy was done. Postoperatively an excessive hyperbilirubinaemia occurred because of a closed central contusion of the left lobe with a biliovenous fistula. This diagnosis was achieved by arteriography before a second operation and intraoperative cholangiography using a T tube. Bilhaemia completely disappeared while mild negative pressure was administered to the T tube. Diagnosis and therapy of bilhaemia are discussed.