Zhao J, Dang YL, Lin JM, Hu CH, Yu ZY. Rare isolated extra-hepatic bile duct injury: A case report. World J Clin Cases 2021; 9(20): 5661-5667 [PMID: 34307622 DOI: 10.12998/wjcc.v9.i20.5661]
Corresponding Author of This Article
Zhi-Yong Yu, MD, PhD, Chief Doctor, Department of Hepatobiliary Surgery, The Affiliated Hospital of Yunnan University (The Second People's Hospital of Yunnan Province), No. 176 Qingnian Road, Wuhua District, Kunming 650000, Yunnan Province, China. xsrsyby@sohu.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jian Zhao, Jia-Ming Lin, Chun-Hai Hu, Zhi-Yong Yu, Department of Hepatobiliary Surgery, The Affiliated Hospital of Yunnan University (The Second People's Hospital of Yunnan Province), Kunming 650000, Yunnan Province, China
Yan-Li Dang, Department of Obstetrics, The First People's Hospital of Yunnan Province, Kunming 650000, Yunnan Province, China
Author contributions: Zhao J and Dang YL designed this report; Lin JM and Hu CH followed the patient and recorded his medical information; Zhao J wrote the paper.
Supported byAcademician (Expert) Workstation Construction Project of Yunnan Province, No. 2018IC107.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Yong Yu, MD, PhD, Chief Doctor, Department of Hepatobiliary Surgery, The Affiliated Hospital of Yunnan University (The Second People's Hospital of Yunnan Province), No. 176 Qingnian Road, Wuhua District, Kunming 650000, Yunnan Province, China. xsrsyby@sohu.com
Received: March 1, 2021 Peer-review started: March 1, 2021 First decision: April 18, 2021 Revised: April 21, 2021 Accepted: April 28, 2021 Article in press: April 28, 2021 Published online: July 16, 2021 Processing time: 128 Days and 7.1 Hours
Core Tip
Core Tip: We report the diagnosis and treatment of a rare case of isolated extra-hepatic bile duct injury (EHBDI). This was a case of unexplained peritoneal bile leakage following abdominal trauma in a patient without severe peritoneal irritation, which led to diagnostic difficulties. In particular, no obvious lesion was found after exploratory examination, so only a T-shaped tube was indwelling in the common bile duct. Isolated EHBDI was confirmed by postoperative T-tube angiography and magnetic resonance cholangiopancreatography, and mild common bile duct stenosis was found at follow-up. We believe this is a rare case that deserves to be summarized. Combined with a literature review, we summarize the injury mechanism, clinical manifestations and treatment strategies of solitary EHBDIs.
