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Penetrating Bile Duct Injury

Successful Treatment by Endobiliary Stenting

  • Case Study
  • Published:
European Journal of Trauma Aims and scope Submit manuscript

Abstract

Background:

Cases of extrahepatic biliary tree trauma are not as common as other intraabdominal injuries and may pose a diagnostic and therapeutic challenge.

Case Study:

In the pediatric patient presented here, a missed stab wound injury to the common bile duct was discovered several days following laparotomy due to a duodenal laceration. The final diagnosis of a major leak from extrahepatic biliary tree was established by means of endoscopic retrograde cholangiopancreatography (ERCP). Successful recovery of the patient was associated with endoscopic stenting of the injured common bile duct and repeated CT-guided drainages of bile ascites.

Conclusion:

ERCP proved to be the most reliable therapeutic method in this case.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Soroka Medical Center, University of Ben Gurion of the Negev, Faculty of the Health Sciences, Beer Sheva, Israel

    Oleg Kleiner MD, Jacob Mordehai & Zahavi Cohen

  2. Gastroenterology Institute, Soroka Medical Center, University of Ben Gurion of the Negev, Faculty of the Health Sciences, Beer Sheva, Israel

    Pavel Krugliak

  3. Department of Pediatric Surgery, Soroka Medical Center, Beer Sheva, 84101, Israel

    Oleg Kleiner MD

Authors
  1. Oleg Kleiner MD
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  2. Jacob Mordehai
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  3. Pavel Krugliak
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  4. Zahavi Cohen
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Corresponding author

Correspondence to Oleg Kleiner MD.

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Cite this article

Kleiner, O., Mordehai, J., Krugliak, P. et al. Penetrating Bile Duct Injury. Eur J Trauma 30, 403–405 (2004). https://doi.org/10.1007/s00068-004-1006-8

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  • DOI: https://doi.org/10.1007/s00068-004-1006-8

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