Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma

  • Park, Yun Chul (Department of Surgery, Chonnam National University Medical School) ;
  • Jo, Young Goun (Department of Surgery, Chonnam National University Medical School) ;
  • Kang, Wu Seong (Department of Surgery, Chonnam National University Medical School) ;
  • Park, Eun Kyu (Department of Surgery, Chonnam National University Medical School) ;
  • Kim, Hee Jun (Department of Surgery, Chonnam National University Medical School) ;
  • Kim, Jung Chul (Department of Surgery, Chonnam National University Medical School)
  • Received : 2017.11.07
  • Accepted : 2017.12.04
  • Published : 2017.12.30
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Abstract

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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References

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