抄録
We treated two cases of common bile duct stricture associated with blunt abdominal trauma. Case 1 was a 72-year-old male who was injured during farm work and he needed emergency surgery due to the intra-abdominal hemorrhage. A complete rupture of the pancreatic body and ecchymoma within the hepatoduodenal ligament were observed. Distal pancreatectomy and an external cholecystostomy were performed. Case 2 was a 62-year-old male who was injured in traffic accident. An abdominal computed tomography revealed an intra-abdominal hemorrhage, and emergency angiography was performed. A pseudoaneurysm was found in the gastroduodenal artery, and it was coiled for hemostasis. Stricture of the common bile duct was detected on Day 13 after the surgery and on Day 12 after interventional radiology respectively. Percutaneous transhepatic biliary drainage were performed and tube stent were kept in place for 6 months. It was speculated that obstruction of the blood flow may cause the bile duct stricture secondarily.
