ENDOSCOPIC MANAGEMENT OF BILIARY STRICTURE FOLLOWING BLUNT ABDOMINAL TRAUMA : A CASE REPORT

Abstract

　　Biliary stricture after blunt abdominal trauma is extremely rare. Therefore, no definitive treatment has been established. Endoscopic management of traumatic biliary stricture, which is less invasive than laparotomy and transhepatic treatment, has been reported for only 7 patients in Japan. We report a case treated endoscopically and review this entity.

　　A 42-year-old male was referred to our hospital after suffering full impact with a 100-kg iron plate in his right upper quadrant. CT revealed III a type laceration in the left hepatic lobe. Liver enzyme elevation was relieved naturally, but deteriorated again on the 12th day. He was diagnosed with traumatic stricture of the lower bile duct by MRCP and CT. Endoscopic biliary drainage with 7Frx9cm double pigtail plastic stent was performed, which was kept in place for 6 months. During a follow-up period of 3 years, there has been no recurrence of liver dysfunction.