Endoscopic retrograde cholangiopancreatography in the management of Traumatic bile duct injury following blunt abdominal trauma: A case series and literature review

Authors

  • Tanapon Supapon Department of Surgery, Prapokkloa Hospital Chantaburi, 22000, Thailand
  • Kittisak Wangsathaporn Department of Surgery, Prapokkloa Hospital Chantaburi, 22000, Thailand

Keywords:

Traumatic bile duct injury, Blunt abdominal trauma, Hepatic injury

Abstract

Bile duct injuries from blunt abdominal trauma are rare. Bile leak after liver injury is not uncommon, especially in complex liver injury. Conventionally, bile duct injury was treated by surgical intervention. In recent decades, however, there had been an increase in radiologic or endoscopic intervention to treat traumatic bile duct injury. Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and biliary stent insertion is an effective treatment of bile leak after liver injury. We report three cases with persistent bile leak after complex liver injury who had had a ERCP for internal biliary stent placement. The procedure was well tolerated and the patient was discharged with biliary stent. A follow-up imaging was performed 6 weeks later, a MR cholangiopancreatography (MRCP) showed a normal biliary tree, without any leakage, and the internal biliary stent was subsequently removed. All patients had a complete recovery. Based on our study results, ERCP should be considered as
first-line therapy in the management of traumatic bile leaks.

References

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Published

2024-12-09

How to Cite

1.
Supapon T, Wangsathaporn K. Endoscopic retrograde cholangiopancreatography in the management of Traumatic bile duct injury following blunt abdominal trauma: A case series and literature review. Thai J. Trauma [internet]. 2024 Dec. 9 [cited 2025 Dec. 25];42(1):1-16. available from: https://he05.tci-thaijo.org/index.php/TJT/article/view/3789

Issue

Vol. 42 No. 1 (2023): January - June 2023

Section

Case Report/Case Series

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