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Eun Kyu Park 1 Article
Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma
Yun Chul Park, Young Goun Jo, Wu Seong Kang, Eun Kyu Park, Hee Jun Kim, Jung Chul Kim
J Trauma Inj. 2017;30(4):231-234.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.231
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AbstractAbstract PDF

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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J Trauma Inj : Journal of Trauma and Injury