Abstract
In this report, we analyzed 46 cases of bile duct injury caused by abdominal blunt trauma. We divided the patients into two groups; those with complete division of the common bile duct (CD) group and those with perforation of the bile duct (PP) group. There were 38 cases in the CD group and 8 cases in the PP group. Traffic accident was the major cause of trauma in both groups. The intervals between time of injury and surgical treatment were significantly longer in the PP group than in the CD group (p<0.05). Jaundice was notable in 8 cases (53.4%) two or more days after injury.
The laceration of bile duct location was mostly at just above the pancreas in the CD group and the external hepatic duct near the bifurcation in the PP group. Choledocho-jejunostomy for the CD cases and simple closure with bile duct drainage for the PP cases were the most frequent surgical treatments in each group.
Hepatic and pancreatic injury were often combined in both groups and portal vein injury caused poor prognosis.
