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APSP J Case Rep. 2010 Jul;1(2):19. Epub 2010 Dec 1.

Partial avulsion of common bile duct and duodenal perforation in a blunt abdominal trauma.

Author information

1
Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.

Abstract

Complete or partial avulsion of common bile duct is a very rare injury following blunt abdominal trauma in children. A 7-year old boy presented to ER following blunt abdominal trauma by a moving motorcycle. X ray abdomen revealed free air under diaphragm and CT scan showed pancreatic contusion injury. At operation anterior wall of common bile duct (CBD) along with a 2mm rim of duodenal tissue on either side of anterior wall of CBD were found avulsed from the duodenum. The avulsed portion of CBD and duodenum were reanastomosed and a tube cholecystostomy performed. The patient had an uneventful recovery.

KEYWORDS:

Duodenal perforation; Avulsion; Blunt abdominal truama; Common bile duct

PMID:
22953262
PMCID:
PMC3418003
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