Biliary tract and liver trauma in a six year old boy
R J Fitzgerald1, S T McCollum1
1Our Lady's Hospital for Sick Children, Dublin.
Insights
This case report details a pediatric liver and biliary tract trauma case involving a complete cystic duct avulsion and severed common bile duct. Careful intraoperative inspection of bile ducts is crucial for pediatric trauma patients with suspected nearby injuries.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Hepatobiliary Surgery
Background:
- Liver and biliary tract injuries can occur in pediatric trauma.
- Accurate diagnosis and management are essential for optimal outcomes.
Purpose of the Study:
- To present a case of severe pediatric liver and biliary tract trauma.
- To highlight the importance of meticulous intraoperative assessment of bile duct injuries.
Main Methods:
- Case report of a 6-year-old child with liver and biliary tract trauma.
- Surgical findings including complete cystic duct avulsion and severed common bile duct.
Main Results:
- Complete avulsion of the cystic duct and severed common bile duct were identified during surgery.
- Minimal associated trauma to the lesser omentum and no bile leak were noted.
Conclusions:
- Pediatric liver and biliary tract trauma requires thorough surgical evaluation.
- Any suspicion of injury near the bile ducts necessitates careful intraoperative inspection to prevent missed injuries.
Abstract:
A case of liver and biliary tract trauma in a 6 year old child is presented. The findings at operation included a complete avulsion of the cystic duct with a severed common bile duct. Only minimal evidence of trauma was noticed in the lesser omentum and there was no bile leak. It is stressed that careful inspection of the bile ducts is necessary if there is any suggestion of injury in their vicinity at laparotomy for trauma.
