title: Blunt Left Extrahepatic Bile Duct Injury: Case Report and Literature Review.
abstract: BACKGROUND
  Extrahepatic biliary tract injuries following blunt abdominal trauma are very rare and pose a diagnostic and therapeutic challenge.
  
  
  METHODS
  We report a case of blunt liver injury with left extrahepatic duct transection following a motor vehicle collision. Technetium 99m dimethyliminodiacetic acid scan confirmed a bile leak and endoscopic retrograde cholangiopancreatography (ERCP) diagnosed the injury of the left extrahepatic duct. Management was initially conservative, consisting of external drainage along with trials of stent placement. Ultimately, partial left hepatectomy was required to definitively treat the injury.
  
  
  CONCLUSIONS
  In the setting of suspected biliary tract injury, early ERCP is essential to localize a leak and guide management decisions. In the event of a confirmed bile leak, a trial of nonoperative management consisting of endoscopic ductal decompression along with percutaneous drainage may initially be warranted although is not always successful.
authors.forename: Charles
authors.initials: C
authors.lastname: de Mestral
authors.forename: Tarek
authors.initials: T
authors.lastname: Razek
authors.forename: Kosar
authors.initials: K
authors.lastname: Khwaja
authors.affiliation: Department of Surgery, Montreal General Hospital, McGill University Health Center, Montreal, QC, Canada, H3G 1A4. paola.fata@muhc.mcgill.ca.|Department of Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, Montreal, QC, Canada, H3G 1A4. paola.fata@muhc.mcgill.ca.
authors.forename: Paola
authors.initials: P
authors.lastname: Fata
keywords: Bile leak; Blunt abdominal trauma; Extrahepatic bile duct
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