title: Complete biliary avulsion from blunt compression injury.
abstract: The liver is the solid organ most commonly injured as a result of blunt abdominal trauma. Complete avulsion of the common hepatic duct is a rare and devastating type of hepatobiliary trauma. Here the authors report the case of a 7-year-old child who had complete biliary disruption as a result of an abdominal crush injury that was not diagnosed correctly preoperatively. The intraoperative diagnosis and treatment of this injury is discussed.
authors.affiliation: Department of Surgery, New York University School of Medicine, New York, USA.
authors.forename: M S
authors.initials: MS
authors.lastname: Arkovitz
authors.forename: H
authors.initials: H
authors.lastname: Liang
authors.forename: H L
authors.initials: HL
authors.lastname: Pachter
authors.forename: P
authors.initials: P
authors.lastname: Alexander
authors.forename: R M
authors.initials: RM
authors.lastname: Newman
authors.forename: G K
authors.initials: GK
authors.lastname: Gittes
mesh_terms: D000007:Abdominal Injuries / Q000150:complications; D000714:Anastomosis, Surgical; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D011877:Radionuclide Imaging; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery