title: Partial avulsion of common bile duct and duodenal perforation in a blunt abdominal trauma.
abstract: Complete or partial avulsion of common bile duct is a very rare injury following blunt abdominal trauma in children. A 7-year old boy presented to ER following blunt abdominal trauma by a moving motorcycle. X ray abdomen revealed free air under diaphragm and CT scan showed pancreatic contusion injury. At operation anterior wall of common bile duct (CBD) along with a 2mm rim of duodenal tissue on either side of anterior wall of CBD were found avulsed from the duodenum. The avulsed portion of CBD and duodenum were reanastomosed and a tube cholecystostomy performed. The patient had an uneventful recovery.
authors.affiliation: Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.
authors.forename: Bilal
authors.initials: B
authors.lastname: Mirza
authors.forename: Lubna
authors.initials: L
authors.lastname: Ijaz
authors.forename: Shahid
authors.initials: S
authors.lastname: Iqbal
authors.forename: Afzal
authors.initials: A
authors.lastname: Sheikh