Abstract
A case of traumatic common bile duct (CBD) obstruction is reported. A 38-year-old male was admitted to the hospital because of injury of the liver and pancreas by a traffic blunt trauma. CT 10 days after the trauma showed a cystic change of the pancreas head. The cyst almost disappeared 1 month later and strictures of the CBD and main pancreatic duct were recognized in the pancreas head on ERCP. The patient was once discharged with almost normal labolatory data. Three months later, however, he was re-admitted because of obstructive jaundice, which was managed by PTBD. Cholangiogram with both PTBD tube and ERCP showed a complete obstruction of CBD, 7 mm in length, at the pancreas head. Fistulous tract of PTBD was dilated and re-cannalizatin with a cholangiofiberscopy was intended in vain. Choledocho-duodenostomy was performed without postoperative complications. Obstruction of CBD was inferred to be caused by CBD injury and fibrous change during cure of the pancreatic pseudocyst.
