Delayed presentation of a penetrating biliary tract injury in a child.
An 8-year-old child presented with obstruction of the common hepatic duct from a 9-mm bullet that had entered her liver 22 months earlier. Evaluation revealed migration of the bullet with complete obstruction of the common hepatic duct. Surgical removal and reconstruction with hepaticojejunostomy has provided long-term drainage.
Rescorla
F J
FJ
Indiana University School of Medicine, Department of Surgery, Indianapolis, USA.
Schlatter
M
M
Hawes
R H
RH
Grosfeld
J L
JL
D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006500:Hepatic Duct, Common; D006801:Humans; D008099:Liver / Q000293:injuries*; D013997:Time Factors; D014948:Wounds, Gunshot / Q000150:complications*