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Related Experiment Videos

Biliary obstruction secondary to shrapnel.

R Mitchell1, R Kerr, J Barton

  • 1University of Alabama, Birmingham.

The American Journal of Gastroenterology
|October 1, 1991
PubMed
Summary
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Foreign bodies like shrapnel can cause obstructive jaundice years after injury. Early detection via imaging and endoscopic removal are key for managing this rare complication.

Area of Science:

  • Gastroenterology and Hepatology
  • Trauma Surgery

Background:

  • Obstructive jaundice is rarely caused by foreign bodies in the biliary tree.
  • Delayed complications from penetrating trauma, such as war injuries, can manifest years later.

Observation:

  • A case of biliary obstruction due to metal shrapnel, 44 years post-injury, is presented.
  • The shrapnel migrated from the liver parenchyma to the common bile duct, causing symptoms.

Findings:

  • Shrapnel-induced obstructive jaundice can occur decades after the initial injury.
  • Computed tomography (CT) scans and endoscopic retrograde cholangiopancreatography (ERCP) are effective diagnostic tools.
  • Associated complications include cholangitis, pancreatitis, and liver abscesses.

Implications:

Related Experiment Videos

  • Consider shrapnel as a cause of obstructive jaundice in patients with a history of combat or penetrating trauma.
  • Endoscopic procedures offer a minimally invasive treatment option for removing foreign bodies from the biliary tree.