Abstract
IntroductionExtra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome. The purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma.Case PresentationA three year-old girl presented with obstructive jaundice and vomiting following blunt abdominal trauma one month prior to referral. The child was sitting in her father’s lap when the accident occurred. She was then examined by an emergency physician to assess the cause of vomiting. An abdominal ultrasonography was performed and revealed dilatation of the common bile duct.ConclusionsTo the best of our knowledge, this is the first report of bile duct injury following blunt trauma and its emergency management.
Highlights
Extra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome
Traumatic obstructive jaundice following blunt trauma is extremely rare and a high clinical index of suspicion is necessary for early diagnosis
We conclude that blunt abdominal trauma, should be considered among possible causes of acquired obstructive jaundice in previously healthy children
Summary
Injuries to the gastrointestinal tract following blunt abdominal trauma continue to be a significant cause of morbidity and mortality in children. Optimal treatment of these injuries is associated withhigh prevalence of delayed diagnosis. Traumatic obstructive jaundice following blunt trauma is extremely rare and a high clinical index of suspicion is necessary for early diagnosis. The purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma
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