Case Reports
doi: 10.3748/wjg.14.2277.Successful endoscopic treatment of biliary stricture following mesenteric tear caused by blunt abdominal trauma
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- PMID:18407610
- PMCID: PMC2703861
- DOI: 10.3748/wjg.14.2277
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Case Reports
Successful endoscopic treatment of biliary stricture following mesenteric tear caused by blunt abdominal trauma
Dong-O Kang et al. World J Gastroenterol..
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Abstract
Biliary duct injuries are frequently iatrogenic, being associated with surgery for gallbladder stones. However, blunt abdominal trauma such as a motor vehicle crash is a rare cause of extrahepatic biliary stricture. A few reports have been published on biliary strictures treated with endoscopic therapy. In the present study, we describe a suprapancreatic biliary stricture associated with mesenteric tear following road traffic accident. We performed endoscopic stent placement, which was successful in relieving the biliary stricture.
Figures
Abdominal CT scan findings. A: Dilated intra- and extrahepatic bile ducts; B: Abrupt cut-off of the distal common bile duct.
ERCP findings. A: Stenosis of the distal CBD, approximately 1 cm in length, located just above the pancreas, with ductal dilatation above the narrowed portion; B: Biopsy of the stricture was obtained.
ERCP findings. A: The CBD was dilated with TTS balloons, but the dilatation was not effective; B: An Amsterdam-type plastic stent (12Fr, 7 cm) was placed across the stricture.
Follow-up ERCP findings. A: Improvement of the CBD stricture; B: There is normal passage of radiocontrast material into the bile duct through the papilla.
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