title: [Extrahepatic biliary lesions in abdominal traumatism].
abstract: The extrahepatic biliary tree traumatisms are rare and hard to diagnose; 15 of 864 patients with surgery treatment for abdominal trauma for over 19 years (1974-1992) were studied retrospectively. Twelve blunt abdominal traumas (9 traffic accident and 3 falls down) and 3 open traumas (stabbing in two and gunshot wounds in one case). Eleven had gallbladder injury, two gallbladder and biliary duct and two exclusively biliary duct. Only one case was an isolated lesion, in the rest of cases, intra or extra abdominal lesions, occasionally both, were seen. The diagnostic method, associated lesions, morbi-mortality are reviewed. Surgical treatment was cholecystectomy for gallbladder injury and direct suture with T-tube (Kehr) for biliary duct injury.
authors.affiliation: Departamento de Cuidados Intensivos, Hospital Universitario Valdecilla, Santander.
authors.forename: S
authors.initials: S
authors.lastname: Revuelta Alvarez
authors.forename: F
authors.initials: F
authors.lastname: López Espadas
authors.forename: R
authors.initials: R
authors.lastname: Ortiz de Diego
authors.forename: C
authors.initials: C
authors.lastname: Fernández Escalante
mesh_terms: D000007:Abdominal Injuries / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D001659:Biliary Tract / Q000293:injuries*; D001662:Biliary Tract Surgical Procedures / Q000706:statistics & numerical data; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D012421:Rupture; D013030:Spain / Q000453:epidemiology; D014949:Wounds, Nonpenetrating / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D014950:Wounds, Penetrating / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery
vernacular_title: Lesiones biliares extrahepáticas en el traumatismo abdominal.