Transection of the Common Bile Duct with Partial Avulsion of the Gall-bladder Due to Blunt Trauma

2009 ◽  
Vol 109 (5) ◽  
pp. 623-625 ◽  
Author(s):  
N. Agaoglu
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gall Bladder ◽  
Blunt Trauma ◽  
The Common

scholarly journals A Case of Complete Transection of the Common Bile Duct due to Blunt Trauma

2011 ◽  
Vol 44 (7) ◽  
pp. 848-854
Author(s):  
Takeaki Sato ◽  
Satoshi Akaishi ◽  
Michiaki Unno ◽  
Iwao Sasaki ◽  
Susumu Satomi
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Blunt Trauma ◽  
Complete Transection ◽  
The Common

scholarly journals Rupture of the common bile duct due to blunt trauma, presenting difficulty in diagnosis

2018 ◽  
Vol 11 (1) ◽  
pp. e226467
Author(s):  
Tomoyuki Ishida ◽  
Eiji Hayashi ◽  
Yuichiro Tojima ◽  
Masashi Sakakibara
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Blunt Trauma ◽  
Conservative Therapy ◽  
Pancreatic Head ◽  
Oral Intake ◽  
The Common ◽  
Drip Infusion Cholangiography ◽  
Car Accident ◽  
Abdominal Fullness

Rupture of the common bile duct because of blunt trauma is extremely rare. Preoperative diagnosis is very difficult because bile causes little peritoneal irritation. We present a case of a 19-year-old young woman with rupture of the common bile duct due to blunt trauma. She arrived at our hospital 1 hour after a car accident. She was diagnosed as pancreatic head injury, and conservative therapy was administered. It was effective, but after starting oral intake 6 days after the injury, she presented with abdominal fullness because of increased ascites. The ascites contained large amounts of bile. Rupture of the common bile duct became apparent, thus, she underwent emergency surgery 13 days after the injury. The common bile duct was ruptured completely at the lower bile duct. We repaired it by choledochojejunostomy. Her postoperative course was uneventful, and she discharged on the 12 days after the surgery. Preoperative drip-infusion-cholangiography-CT was useful for its diagnosis.

Efficacy of oxaliplatin, 5 FU and gemcitabine in advanced pancreato-biliary cancer

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 15182-15182
Author(s):  
S. Aggarwal ◽  
A. Negi ◽  
N. Banerjee ◽  
T. Buxi ◽  
M. Kumar ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Partial Response ◽  
Gall Bladder ◽  
Progressive Disease ◽  
Unmet Need ◽  
Biliary Cancer ◽  
Upper Limit ◽  
Chemotherapy Protocol ◽  
The Common

15182 Background: The treatment of advanced pancreato-biliary cancer remains an unmet need. The drugs known to be effective are oxaliplatin, gemcitabine. Method: The records of twenty patients suffering with cancers of advanced gall bladder (10), common bile duct (3), ampulle of vater (3) and pancreas (4) were analysed. Twenty patients were treated in the year 2006. Median age was 52 years. The common sites of metastatis were liver (12), lymphnodes (10), peritoneum (4), lungs (1). The patients with normal bilirubin & LFT (< 3 times upper limit of normal) were included. The chemotherapy protocol was given as: oxaliplatin 50 mg, leucovorin 30 mg, and 5FU 500 mg/m2 on day 1, 2, & 3. Gemcitabine was given 800 mg/m2 on day 2, 9, and 16. The cycle was repeated every 4 weeks. Response: The regimen was well tolerated. Pancytopenia requiring G-CSF, delays in drug administration occurred in 70% cases. The response was as follows-partial response 6/20 (30%), stable disease 5/20 (25%), progressive disease 9/20 (45%). The median survival was 5.5 months, four patients completed six cycles of chemotherapy and survival for at least 12 months. Conclusion: Oxaliplatin, 5 FU, gemcitabine and leucovorin is an effective chemo-protocol in advanced pancreato-biliary cancer. However, there is a need to improve upon the existing results. No significant financial relationships to disclose.

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