Ahmad Humaid, Saleem Omema, Mahmood Rasheeqa, Haider Jahanzaib, Alam Shams Nadeem
Surgery, Dow University of Health Sciences, Karachi, PAK.
Surgery, Jinnah Medical College Hospital, Karachi, PAK.
Cureus. 2019 Jul 25;11(7):e5235. doi: 10.7759/cureus.5235.
Traumatic extrahepatic biliary tract injuries are rare occurrences because they are a relatively small target of injury following trauma. They are almost always associated with injuries to surrounding structures, which take precedence during initial management. The management of extrahepatic biliary tract injuries depends on the extent and level of the injury. This may include primary repair to high-level biliary-enteric anastomoses. We report a case of injury to the biliary confluence that occurred after blunt trauma abdomen. The injury was associated with an extensive liver injury that was the focus of initial treatment. We discuss the possible mechanisms that led to injury of this relatively hidden area and describe the various treatment options that can be applicable in such cases.
创伤性肝外胆道损伤较为罕见，因为在创伤后它们是相对较小的损伤靶点。它们几乎总是与周围结构的损伤相关，而在初始处理时周围结构的损伤更为优先。肝外胆道损伤的处理取决于损伤的程度和部位。这可能包括对高位胆管-肠道吻合术进行一期修复。我们报告一例腹部钝性创伤后发生的胆管汇合部损伤病例。该损伤与广泛的肝损伤相关，肝损伤是初始治疗的重点。我们讨论了导致这个相对隐蔽区域损伤的可能机制，并描述了适用于此类病例的各种治疗选择。
