Related Experiment Video

Updated: Oct 13, 2026

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
08:57

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Published on: June 17, 2018

Closed abdominal trauma in a child causing avulsion of the common bile duct and gastric stasis

R M Kernohan, W G Humphreys

    Injury
    |January 1, 1985
    PubMed

    Insights

    Blunt abdominal trauma can cause rare injuries like complete common bile duct transection and gastric stasis. Surgical intervention restored bile flow and gastric emptying, suggesting a traumatic vagotomy.

    Area of Science:

    • Pediatric surgery
    • Trauma surgery
    • Gastroenterology

    Background:

    • Blunt abdominal trauma is a significant cause of pediatric injury.
    • Common bile duct injuries are rare complications of abdominal trauma.
    • Gastric stasis following trauma is not well-documented.

    Observation:

    • An 8-year-old boy sustained complete transection of the supraduodenal common bile duct due to closed abdominal trauma.
    • The patient also experienced significant gastric stasis, leading to failure of gastric emptying.

    Findings:

    • Surgical management successfully re-established biliary-enteric continuity.
    • Gastric drainage was performed to address the gastric stasis.
    • A traumatic vagotomy is postulated as the cause of gastric emptying failure.

    Implications:

    • This case highlights a previously unreported complication of blunt abdominal injury.
    • It underscores the importance of considering vagal nerve injury in traumatic gastric stasis.
    • Management strategies involve both biliary reconstruction and gastric decompression.

    More Related Videos

    Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults04:14

    Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

    Published on: February 28, 2025

    Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center07:48

    Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

    Published on: January 9, 2026

    Related Concept Videos

    Esophageal Perforation-I: Introduction01:22

    Esophageal Perforation-I: Introduction

    Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
    The location of esophageal perforation can vary, occurring anywhere along the esophagus.
    Esophageal Perforation-II: Clinical Manifestations and Management01:28

    Esophageal Perforation-II: Clinical Manifestations and Management

    Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
    Clinical Manifestations:
    Pyloric Obstruction01:11

    Pyloric Obstruction

    Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
    Intestinal Obstruction II: Pathophysiology01:07

    Intestinal Obstruction II: Pathophysiology

    Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
    Cholecystitis01:20

    Cholecystitis

    Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...