Partial avulsion of common bile duct and duodenal perforation in a blunt abdominal trauma
Bilal Mirza1, Lubna Ijaz, Shahid Iqbal
1Department 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.
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