Penetrating Bile Duct Injury: Successful Treatment by Endobiliary Stenting

Background: Cases of extrahepatic biliary tree trauma are not as common as other intraabdominal injuries and may pose a diagnostic and therapeutic challenge. Case Study: In the pediatric patient presented here, a missed stab wound injury to the common bile duct was discovered several days following...

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Bibliographic Details
Published in:European journal of trauma 2004-12, Vol.30 (6), p.403-405
Main Authors: Kleiner, Oleg, Mordehai, Jacob, Krugliak, Pavel, Cohen, Zahavi
Format: Article
Language:English
Subjects:
Bile
Injuries
Liver
Medical treatment
Stabbings
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Summary:Background: Cases of extrahepatic biliary tree trauma are not as common as other intraabdominal injuries and may pose a diagnostic and therapeutic challenge. Case Study: In the pediatric patient presented here, a missed stab wound injury to the common bile duct was discovered several days following laparotomy due to a duodenal laceration. The final diagnosis of a major leak from extrahepatic biliary tree was established by means of endoscopic retrograde cholangiopancreatography (ERCP). Successful recovery of the patient was associated with endoscopic stenting of the injured common bile duct and repeated CT-guided drainages of bile ascites. Conclusion: ERCP proved to be the most reliable therapeutic method in this case. [PUBLICATION ABSTRACT]
ISSN:1439-0590
1863-9933
1615-3146
1863-9941
DOI:10.1007/s00068-004-1006-8