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Traumatic injuries to the biliary system in children
Affiliation:1. Surgery Department, Louisiana State University Health Sciences Center New Orleans, New Orleans, Louisiana;2. Surgery Department, University of Chicago School of Medicine, Chicago, Illinois;3. Surgery Department, University of Nevada- Las Vegas School of Medicine, Las Vegas, Nevada;4. Surgery Department, LAC+USC Medical Center, University of Southern California, Los Angeles, California;5. Surgery Department, Baylor Scott and White Health, Dallas, Texas;6. Trauma Surgery Division, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana;7. Surgery Department, University of Colorado Health, Colorado Springs, Colorado;8. Surgery Department, University of Tennessee Knoxville Medical Center, Knoxville, Tennessee;9. Surgery Department, University of Wisconsin- Madison, Madison, Wisconsin;10. Trauma Division, Sanford Health Bismarck, Bismarck, North Dakota;11. Surgery Department, St. Luke University Healthcare Network, Bethlehem, Pennsylvania;1. Department of surgery, Trauma Surgery Section, Hamad General Hospital (HGH), Doha, Qatar;2. Department of Surgery, HGH, Doha, Qatar;3. Clinical Research, Trauma Surgery, HGH, Doha, Qatar;4. Clinical Medicine, Weill Cornell Medical College, Doha, Qatar
Abstract:
  • 1.1. Blunt abdominal trauma is an increasing problem.
  • 2.2. Biliary tract injury due to blunt trauma is rare but does occur at any point in the biliary tree.
  • 3.3. There is often long delay in diagnosis and treatment due to the indolent nature of bile peritonitis.
  • 4.4. Facilities for operative cholangiography should be available in exploration for blunt trauma.
  • 5.5. The site of injury must be identified and repair improvised to suit each case.
  • 6.6. Diagnosis and treatment usually result in recovery.
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