title: Complete transection of common bile duct due to blunt abdominal trauma: a case report and literature review.
abstract: A case of complete transection of the common bile duct due to abdominal blunt injury in a 49-year-old man is presented. The rarity of this injury and its initial presentation as a pancreatic pseudocyst warrant its description. This patient was diagnosed as having bile duct injury following ascites aspiration. Common bile duct transection was documented and a choledochostomy was done. However, bile leaked into the peritoneal cavity one week after the operation. A Roux-en-Y choledochojejunostomy was done successfully in a second operation. Delayed diagnosis is common in these kinds of injuries, but it should be considered when a patient has bile ascites, abdominal distention and jaundice after a blunt abdominal injury. A review of the literature, methods of diagnosis and the technique of surgical repair are described.
authors.affiliation: Department of Surgery, Provincial Hsin-Chu Hospital, Taiwan, R.O.C.
authors.forename: Y C
authors.initials: YC
authors.lastname: Chung
authors.forename: P H
authors.initials: PH
authors.lastname: Lee
authors.forename: M T
authors.initials: MT
authors.lastname: Huang
authors.forename: C N
authors.initials: CN
authors.lastname: Chang
mesh_terms: D002758:Cholangiography; D002768:Choledochostomy / Q000009:adverse effects; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000175:diagnosis; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery