Traumatic Common Bile Duct Injury and Spontaneous Formation of Choledochoduodenal Fistula Managed by Cholecystojejunostomy: A Case Report and Review of Literature.

dc.contributor.authorPandey, Manish Kumar
dc.contributor.authorBabu, Annu
dc.contributor.authorKumar, Deepak
dc.contributor.authorKumar, Subodh
dc.contributor.authorMishra, Biplab
dc.date.accessioned2016-03-17T05:45:38Z
dc.date.available2016-03-17T05:45:38Z
dc.date.issued2015-12
dc.description.abstractTraumatic injury to extrahepatic bile duct system is a rare entity. Associated injuries are usually the indication of surgical exploration, and most of the common bile duct (CBD) injuries are diagnosed intraoperatively. Here, we present a case of a 23-year-old boy with a history of road traffic accident. Intraoperatively there was moderate hemoperitoneum with Grade 3 liver laceration, Grade 1 splenic laceration, laceration of anterior wall of stomach, common hepatic artery tear, and complete transaction of CBD. The principle of damage control surgery followed. Stomach laceration repaired and common hepatic artery ligated. Infant feeding tube placed in a proximal portion of transected CBD and distal portion ligated. The patient was discharged on the 45th day with infant feeding tube draining bile. In follow-up OPD tube cholangiogram followed by magnetic resonance cholangiopancreatography done which showed the formation of a choledochoduodenal fistula. Infant feeding tube removed. The patient did well for next 6 months but after that he presented with jaundice which on evaluation found to be due to stricture of choledochoduodenal fistula. The patient underwent elective cholecystojejunostomy. Miraculous spontaneous formation of choledochoduodenal fistula in traumatic CBD injury and management by cholecystojejunostomy is very less reported in the literature.en_US
dc.identifier.citationPandey Manish Kumar, Babu Annu, Kumar Deepak, Kumar Subodh, Mishra Biplab. Traumatic Common Bile Duct Injury and Spontaneous Formation of Choledochoduodenal Fistula Managed by Cholecystojejunostomy: A Case Report and Review of Literature. IJSS Case Reports & Reviews. 2015 Dec; 2(7): 12-15.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/176049
dc.language.isoenen_US
dc.source.urihttps://www.ijsscr.com/sites/default/files/articles/IJSS_CR_Dec_CR04_20151228.pdfen_US
dc.subjectCholecystojejunostomyen_US
dc.subjectCholedochoduodenal fistulaen_US
dc.subjectTraumatic common bile duct injuryen_US
dc.titleTraumatic Common Bile Duct Injury and Spontaneous Formation of Choledochoduodenal Fistula Managed by Cholecystojejunostomy: A Case Report and Review of Literature.en_US
dc.typeArticleen_US
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