Lestraumatismes de la VBP au cours des contusions de l'abdomen

ABSTRACT

The bile duct ruptures during abdominal contusions are uncommon and require often a violent trauma, Their mechanism is stilt unknown, but the theory of wrench of choledochus, firmly fixed to duodenum, by liver pressed back at the time of trauma in the diaphragmatic concavity, seems to be the very likely. Indeed, the seat of the lesion is most often at the junction between pedicular choledochus and retropancreatic choledochus, and it can be either partial or total. In general, it is diagnosed in peroperative stage and its diffIculty depends on the lesion type. The effective therapeutical management lies in the direct or canal suture associated or not to the kehr's drainage. The bilio-digestive anastomosis can be used when repair end to end is impossible. Secondary bile duct stenosis can occur in the operative sequelae