title: [Biliary fistula after concealed choledochal rupture in a polytraumatized patient].
abstract: This paper describes the case of a polytraumatised patient. Following primary care, a persistent fistulous wound developed. After initially good healing, the patient progressively deteriorated. Extensive diagnostic workup revealed a maximally elevated bilirubin concentration in the wound secretion. Five years previously, the patient had undergone a cholecystectomy. A leak in the common bile duct caused by the trauma was detected and was treated with a biliodigestive anastomosis with a Roux-Y loop, and bypass of the distal common bile duct.
authors.affiliation: Unfallchirurgische Klinik, Kreiskrankenhaus Schorndorf.
authors.forename: W
authors.initials: W
authors.lastname: Hubel
authors.forename: J
authors.initials: J
authors.lastname: Richter
authors.forename: E
authors.initials: E
authors.lastname: Walter
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001658:Biliary Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D002758:Cholangiography; D002763:Cholecystectomy; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012421:Rupture
vernacular_title: Biliäre Fistel nach gedeckter Choledochusruptur bei einer polytraumatisierten Patientin.