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CASE REPORT
Rupture of the common bile duct due to blunt trauma, presenting difficulty in diagnosis
  1. Tomoyuki Ishida1,2,
  2. Eiji Hayashi2,
  3. Yuichiro Tojima2 and
  4. Masashi Sakakibara2,3
  1. 1 Surgery, National Cancer Center Japan, Chuo-ku, Japan
  2. 2 Surgery, JCHO Chukyo Hospital, Nagoya, Japan
  3. 3 Vascular Surgery, Nagoya University Hospital, Nagoya, Japan
  1. Correspondence to Dr Tomoyuki Ishida, tomoyuki.ishida0808{at}gmail.com

Abstract

Rupture of the common bile duct because of blunt trauma is extremely rare. Preoperative diagnosis is very difficult because bile causes little peritoneal irritation. We present a case of a 19-year-old young woman with rupture of the common bile duct due to blunt trauma. She arrived at our hospital 1 hour after a car accident. She was diagnosed as pancreatic head injury, and conservative therapy was administered. It was effective, but after starting oral intake 6 days after the injury, she presented with abdominal fullness because of increased ascites. The ascites contained large amounts of bile. Rupture of the common bile duct became apparent, thus, she underwent emergency surgery 13 days after the injury. The common bile duct was ruptured completely at the lower bile duct. We repaired it by choledochojejunostomy. Her postoperative course was uneventful, and she discharged on the 12 days after the surgery. Preoperative drip-infusion-cholangiography-CT was useful for its diagnosis.

  • trauma
  • pancreas and biliary tract
  • gastrointestinal surgery
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Footnotes

  • Contributors TI, EH, YT and MS experienced this case. TI drafted the manuscript, and TI designed the figures and EH did revision of the article. YT and MS gave final approval of the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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