Abstract
Cases of extrahepatic biliary tree trauma are not as common as other intraabdominal injuries and may pose a diagnostic and therapeutic challenge. In the pediatric patient presented here, a missed stab wound injury to the common bile duct was discovered several days following laparotomy due to a duodenal laceration. The final diagnosis of a major leak from extrahepatic biliary tree was established by means of endoscopic retrograde cholangiopancreatography (ERCP). Successful recovery of the patient was associated with endoscopic stenting of the injured common bile duct and repeated CT-guided drainages of bile ascites. ERCP proved to be the most reliable therapeutic method in this case.
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