[Complete section of the choledochus caused by non-penetrating trauma of the abdomen. Use of minimal catheter jejunostomy].
A case is presented of complete section of the choledochus as the sole lesion in closed abdominal trauma. A study is made of the difficulties of an early diagnosis of this pathology, as well as techniques for intraoperative localization and repair. Emphasis is placed on the use of peritoneal lavage as a preoperative diagnostic method and Tc99m HIDA scintigraphy of the biliary tract. The surgical technique is reviewed, assuming that the most physiological and anatomic procedure is end-to-end choledochoduodenostomy using reabsorbable sutures. We recommend the use of minimal transcatheter jejunostomy (YMC) as a method for immediate replacement of bile juice and inhibition of secretion, as well as the possibility of postoperative physiological nutrition using this approach.
Alarco Hernández
A
A
Pérez Palma
J
J
Alarco Hernández
R
R
Gómez Rodríguez-Bethencourt
M
M
Gómez Culebra
M
M
Herrero
A
A
Bordallo Cortina
A
A
González Hermoso
F
F
D000328:Adult; D002404:Catheterization; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D011877:Radionuclide Imaging; D014949:Wounds, Nonpenetrating / Q000150:complications*
Sección completa del colédoco por traumatismo no penetrante de abdomen. Utilización de la yeyunostomía mínima a catéter (YMC).