Chappuis J P, Cochet P, Takvorian P, Floret D
Service de Chirurgie Infantile, Hôpital Edouard Herriot, F, Lyon.
Chir Pediatr. 1987;28(6):325-8.
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.
一名3岁半的儿童因闭合性腹部损伤导致胆总管单独破裂。该病例的发现以及对15例病例的文献回顾表明，这种病变在儿童中很罕见，在休克初期后的诊断常常延迟，诊断特征为黏膜皮肤黄疸、大便变色和全身状况不佳，以及使用肠直接缝合或旁路手术来修复病变。由于吻合口延迟狭窄的风险，需要进行长期监测。
