[Isolated rupture of the choledochus in closed injury of the abdomen in children].

A 3 1/2 year old child presented with an isolated rupture of common bile duct from a closed abdominal injury. Findings in this case, and a literature review involving 15 cases, demonstrate the rare nature of this lesion in children, the frequent delay in diagnosis after the initial period of shock, diagnostic features being the mucocutaneous jaundice, discolored stools and poor general condition, and the use of either direct suture of intestinal by pass operation to repair lesion. Prolonged surveillance is necessary because of the risk of delayed stenosis of the anastomoses.