[Conservative treatment of traumatic rupture of the biliary ducts: a case report].
The diagnosis of a biliary duct transection after blunt trauma is difficult in children. Surgery is often performed late and therefore complicated. We present a case of mini-invasive approach for biliary duct transection in a 12-year-old child and review the literature. Transhepatic cholangiography is at the moment the most used technique to make the diagnosis but necessitates general anaesthesia. Stent placement is possible by the way. Endoscopic retrograde cholangiogram (ERCP) has been proposed even in children. Stent placement may be easier by this technique. For the diagnosis, Technetium 99m dimethylminodiacetic acid (HIDA) scanning seems interesting in terms of both sensitivity and specificity. Another promising diagnostic technique is MRI with 3D reconstruction.
Carfagna
L
L
Service de chirurgie pédiatrique, Fondation Lenval, hôpital pour enfants, 57, avenue de la Californie, 06200, Nice, France.
Steyaert
H
H
Lembo
M A
MA
Valla
J S
JS
D001652:Bile Ducts / Q000293:injuries*; D001803:Blood Transfusion; D002648:Child; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006498:Hepatectomy; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D008297:Male; D019275:Radiopharmaceuticals; D012421:Rupture; D012680:Sensitivity and Specificity; D015607:Stents; D019780:Technetium Tc 99m Lidofenin; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000378:metabolism / Q000628:therapy*
D019275:Radiopharmaceuticals; D019780:Technetium Tc 99m Lidofenin