Dr. Arpit Bandi, MBBS, MS

Case Report Blunt Trauma: An Uncommon Cause of Bile Duct Injury

Disruption of the biliary tree secondary to blunt trauma is a rare cause for extrahepatic bile duct injury [1–4]. It seldom occurs alone, hence, this type of injury is easily overshadowed by more overt surgical emergencies and may go undiagnosed, leading to complications and potentially adverse outcomes in the later course. A variety of imaging modalities have been used to varying degrees of success in identifying biliary tree disruption for stable patients but in emergent settings exploratory laparotomy remains the most efficacious means for identifying injury [4,5,6]. The spectrum of severity ranges from severe ones such as transection or laceration, to contusion and hematoma. The incidence of bile leaks following hepatobiliary trauma ranges from 0.5 to 2.1% depending on the methods used to diagnose the bile leak. We present here a rare case with injury to both IHBR and EHBDas a consequence to abdominal trauma