A rare case presentation of isolated complete CBD transection in blunt injury abdomen

Abstract

The prevalence of blunt and penetrating injuries to the extra hepatic biliary system is limited but seems to be on a rising trend. Bile in the sub hepatic pouch leads to suspicion of such injuries intra operatively. The significant morbidity linked to these lesions is a result of inadequate diagnostic efforts and poor treatment discretion. In addition, pre-operative investigations are not very specific and hence diagnosis of such cases becomes very challenging. Most common aetiology among all those who experience traumatic bile duct injuries include penetrating trauma from either stab injuries or gunshot wounds. Bile duct injuries due to blunt trauma are predominantly due to traffic accidents such as compression by safety belt or airbag, falls, kicks or work accidents. These injuries are commonly associated along with biliary tract including liver, gall bladder, pancreas, duodenum and mesenteric injuries. This case report demonstrates a rare instance of specific injury to common bile duct without any other solid organ injury.