Avulsion of the ampulla of Vater following blunt trauma.

Avulsion of the ampulla of Vater associated with a duodenal laceration occurred in a 14 year old girl involved in a motor vehicle accident. The duodenal laceration was repaired, and the common bile duct reimplanted into the second part of the duodenum, 1.5 cm proximal to the site of rupture. This method of reconstruction gave a good result in this rare injury, of which only four similar cases were found reported in the literature.