Traumatic Rupture of the Bile Ducts

Lewis, Kenneth M.

doi:10.1097/00000658-193808000-00007

Cited by 45 publications

(8 citation statements)

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“…The generation mechanism was considered as below, (1) compression opinion,12 (2) opinion on elevation of pressure in bile duct,13 14 (3) extension opinion15 and so on. In this case, we think following might have happened; the car-handle crashed to her upper abdomen and the liver was compressed to cranial side, and inertial force because of the loss of speed at the collision brought the bile duct out to ventral side.…”

Section: Discussionmentioning

confidence: 99%

Rupture of the common bile duct due to blunt trauma, presenting difficulty in diagnosis

Ishida¹,

Hayashi

Tojima

et al. 2018

BMJ Case Rep

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Rupture of the common bile duct because of blunt trauma is extremely rare. Preoperative diagnosis is very difficult because bile causes little peritoneal irritation. We present a case of a 19-year-old young woman with rupture of the common bile duct due to blunt trauma. She arrived at our hospital 1 hour after a car accident. She was diagnosed as pancreatic head injury, and conservative therapy was administered. It was effective, but after starting oral intake 6 days after the injury, she presented with abdominal fullness because of increased ascites. The ascites contained large amounts of bile. Rupture of the common bile duct became apparent, thus, she underwent emergency surgery 13 days after the injury. The common bile duct was ruptured completely at the lower bile duct. We repaired it by choledochojejunostomy. Her postoperative course was uneventful, and she discharged on the 12 days after the surgery. Preoperative drip-infusion-cholangiography-CT was useful for its diagnosis.

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Section: Discussionmentioning

confidence: 99%

Rupture of the common bile duct due to blunt trauma, presenting difficulty in diagnosis

Ishida¹,

Hayashi

Tojima

et al. 2018

BMJ Case Rep

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“…The exact mechanism of injury is unknown; however, a few hypotheses explain this condition: collision by the spinal column of coronal structure, rupture because of increased internal pressure, and lacerations between the fixed and movable part at the intraductal junction [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma

Park

Kang

et al. 2017

Journal of Trauma and Injury

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Extrahepatic bile duct injury is commonly associated with hepatic, duodenal, or pancreatic injuries, and isolated extrahepatic bile duct injury is rare. We report a patient who presented with an isolated extrahepatic bile duct injury after blunt trauma. A 50-year-old man was referred to our hospital after having suffered a fall down injury. His laboratory findings showed hyperbiliribinemia with elevated aspartate aminotransferase and alanine aminotransferase level. Initial abdominal computed tomography (CT) showed a mild degree of hemoperitoneum without evidence of abdominal solid organ injury. On the 3rd day of hospitalization, the patient complained of dyspnea and severe abdominal discomfort. Follow-up abdominal CT showed no significant interval change. Owing to the patient's condition, Emergency laparotomy revealed a large amount of bile-containing fluid collection and about 1 cm in size laceration on the left lateral side of the common hepatic duct. Primary repair of the injured bile duct with T-tube insertion was performed On postoperative day (POD) 30, endoscopic retrograde cholangiopancreatography showed minimal bile leakage and endoscopic sphincteroplasty and endoscopic retrograde biliary drainage were performed. On POD 61, the T-tube was removed and the patient was discharged.

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“…The exact nature of the force necessary to cause injury to the extrahepatic bile ducts (EBD) is unknown although impingement and compression of the ductal system on the vertebral column [4], external compression of the gall bladder with transmitted rise in intraductal pressures resulting in "blowout of the duct" [5], and laceration of the ductal system at the junction of its fixed and mobile portions [6,7], may explain EBD injuries. The exact pathophysiology still remains unclear, but a combination of the above theories may be responsible for EBD injuries.…”

Section: Discussionmentioning

confidence: 99%

Avulsion of the common bile duct and ampulla of vater after blunt abdominal trauma: Case report and review of the literature

Azzam¹

2011

IJHPD

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Traumatic Rupture of the Bile Ducts

Cited by 45 publications

References 0 publications

Rupture of the common bile duct due to blunt trauma, presenting difficulty in diagnosis

Rupture of the common bile duct due to blunt trauma, presenting difficulty in diagnosis

Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma

Avulsion of the common bile duct and ampulla of vater after blunt abdominal trauma: Case report and review of the literature

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