Non-iatrogenic extra-hepatic biliary injuries

ABSTRACT

This prospective study was carried out in the Department of Surgery at District Headquarter Hospital, Gujranwala between January 1999 to December 2003. The study was designed to assess the nature of biliary injuries in different kinds of non-surgical trauma and to assess the results of the treatment. The nature of associated injuries was also recorded. Out of 23 patients encountered, 14 [60.87%] had gall bladder, 7 [30.43%] bile duct and 2 [8.70%] both gall bladder and bile duct injuries. Cholecystectomy was the treatment of choice in the gall bladder injuries. Bile duct injuries were managed by bilioenteric anastomosis using Roux loop of jejunum in five patients and primary repair in two patients. Pancreatico-duodenectomy was performed in one patient and cholecystojejunostomy in another. Most of the complications that occured, were due to associated injuries