Shorthouse A J, Singh M P, Treasure T, Franklin R H
Br J Surg. 1978 Aug;65(8):543-5. doi: 10.1002/bjs.1800650805.
Isolated complete transection of the common bile duct due to blunt trauma is rare. Its occurrence and successful treatment in an 8-year-old boy are described. Inital minor peritonism resolved quickly, followed by a deceptive asymptomatic period and insidious development of jaundice, anorexia, vomiting, pain, acholic stools and progressive abdominal distension due to sterile biliary ascites. A preliminary cholecystostomy was followed by construction of a Roux-en-Y cholecystojejunostomy.
钝性创伤导致的孤立性胆总管完全横断很少见。本文描述了一名8岁男孩的发病情况及成功治疗过程。最初的轻微腹膜炎很快消退，随后出现一段具有欺骗性的无症状期，接着因无菌性胆汁性腹水逐渐出现黄疸、厌食、呕吐、疼痛、无胆汁粪便及进行性腹胀。先行胆囊造瘘术，随后行Roux-en-Y式胆囊空肠吻合术。
