Injuries of the Gallbladder and Bile Ducts
Most injuries of the biliary system are iatrogenic and occur in the operating room. The etiology, diagnosis, and methods of treating these complications of biliary surgery are discussed in other chapters. In addition, however, the biliary tract can be injured from non-operative abdominal trauma in association with other intra-abdominal injuries or, rarely, as an isolated injury. Penetrating injuries from gunshot and knife wounds are more common than blunt injuries and, according to some reports, account for approximately 90% of all injuries of the extrahepatic biliary system.1 In children, blunt injuries are the more common cause of injury.2 The increasing incidence of all types of abdominal trauma, especially blunt injuries from high-speed automobile accidents, makes it imperative that surgeons be able to diagnose and treat trauma of the biliary system.3
KeywordsAssure Triad Peritonitis Chole Exter
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