Abstract
A 30-year-old woman had obstructive jaundice 10 days after a steering-wheel injury. Further examination revealed stenosis of the middle portion of the bile duct, intimal dissection of the distal end of the common heaptic artery, and occlusion of the gastroduodenal artery. Stenosis of the bile duct was cured only by external cholecystostomy. Dissection of the hepatic artery progressed proximally, but no treatment was necessary. The mechanism of these injuries appears to be the shearing force applied to the bile duct and heaptic artery due to cephalad movement of the liver by an external blow.
There have been 10 cases of traumatic bile duct stenosis reported in the Japanese literature, and one case was added. In most cases, jaundice appeared about two weeks after the injury, and the site of the stenosis was the middle portion of the bile duct, and the patient was cured only by external biliary drainage.
This case seems to be the first reported case of bile duct stenosis with injury to the hepatic artery due to blunt abdominal trauma.
