Moser J J, Schweizer W, Czerniak A, Baer H U
Department of Surgery and Transplantation, University of Bern, Inselspital, Switzerland.
Hepatogastroenterology. 1995 Apr;42(2):103-5.
Injury to the extrahepatic biliary system after blunt abdominal trauma is rare and may be overlooked due to associated intra-abdominal trauma. We report on a 31-year-old man who, following blunt abdominal trauma, presented with an unusual injury of the extrahepatic left hepatic duct within the umbilical fissure which was diagnosed only at relaparotomy. Whenever injury to the biliary system is suspected, a thorough assessment of the liver, the extrahepatic biliary system including the left ductal system within the umbilical fissure region should be carried out. Diagnosis is facilitated by intra-operative cholangiography.
钝性腹部创伤后肝外胆道系统损伤较为罕见，且可能因合并腹内创伤而被忽视。我们报告一名31岁男性，在钝性腹部创伤后，出现脐裂内肝外左肝管的罕见损伤，该损伤仅在再次剖腹手术时才被诊断出来。每当怀疑有胆道系统损伤时，都应对肝脏、包括脐裂区域内左导管系统的肝外胆道系统进行全面评估。术中胆管造影有助于诊断。
