Biliary tract and liver trauma in a six year old boy

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.