An unusual bile duct injury in a child after blunt abdominal trauma

Traumatic pediatric bile duct injury: nonoperative intervention as an alternative to surgical intervention

“…The diagnosis is always difficult and often delayed, especially in those cases where nonoperative management of blunt liver injuries was implicated [6]. However, these injuries can be missed even in those requiring laparotomies [6,7].…”

“…However, associated bile duct injuries remain as difficult challenges. The diagnosis is difficult and usually missed, initially resulting in substantial morbidity and prolonged hospitalization and has led to death in some cases [1][2][3][4][5][6][7][8][9][10][11].…”

“…With the advancements in endoscopy and interventional radiology, few case reports have demonstrated the benefits of nonoperative approaches [2,6,7,9,[12][13][14][15][16].…”

Posttraumatic biliary stricture in a child

“…1 Injury to the extra hepatic biliary system after blunt abdominal trauma is rare and may be overlooked due to associated intra-abdominal trauma. 3 Stricture has been seen most commonly in the supra pancreatic portion 5 as was in our case.…”

Hepatic duct confluence injury in blunt abdominal trauma - a diagnostic dilemma

“…HIDA scanning can also be used for following the patient postoperatively. [11] Endoscopic retrograde cholangiopancreatography (ERCP) has been used to detect extravasation of contrast medium from the injured site in selected patients with biliary injury. [12] A variety of treatment options have been used for biliary tract injuries, with the choice of treatment being dictated by the type and degree of injury and the general condition of the patient.…”