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Cholestasis in a three year-old child following abdominal blunt trauma: a case report

Seyed Abdollah Mousavi1, Hassan Karami2

  • 1Department of Pediatric Surgery, Mazandaran University of Medical Sciences, Sari, IR Iran.

Trauma Monthly
|December 19, 2013
PubMed

Insights

Extra-hepatic bile duct injuries in children from blunt abdominal trauma are rare but require prompt diagnosis and management. This case highlights the successful emergency treatment of a child with bile duct injury after blunt trauma.

Area of Science:

  • Pediatric surgery
  • Trauma surgery
  • Gastroenterology

Background:

  • Extra-hepatic bile duct injuries are uncommon in pediatric blunt abdominal trauma.
  • Early diagnosis and intervention are crucial for favorable outcomes in pediatric bile duct injuries.
  • This report details the management of a pediatric case involving bile duct injury post-blunt trauma.

Observation:

  • A 3-year-old female presented with obstructive jaundice and vomiting.
  • Symptoms followed blunt abdominal trauma sustained one month prior.
  • Abdominal ultrasonography revealed common bile duct dilatation.

Findings:

  • The case involved a rare instance of bile duct injury secondary to blunt abdominal trauma in a child.
  • Management strategies for encountered problems were described.
  • This represents the first reported case of bile duct injury from blunt trauma and its emergency management in pediatric patients.

Implications:

  • Highlights the importance of considering bile duct injury in pediatric patients with blunt abdominal trauma and obstructive jaundice.
  • Emphasizes the need for timely diagnostic imaging, such as ultrasonography, to identify bile duct dilatation.
  • Underscores the potential for successful emergency management of pediatric bile duct injuries, even in rare traumatic cases.
Abstract

Keywords:
Bile DuctChildJaundiceTrauma

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