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Case Reports in Surgery
Volume 2012, Article ID 254563, 4 pages
Case Report

Isolated Avulsion of the Common Hepatic Duct from Blunt Abdominal Trauma

1Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA
2Department of Surgery, Legacy Emanuel Medical Center, 2801 N. Gantenbein, Portland, OR 97227, USA
3Portland Providence Cancer Center, 4805 NE Glisan Street, Portland, OR 97213, USA
4The Oregon Clinic, 4805 NE Glisan Street, Portland, OR 97213, USA

Received 15 May 2012; Accepted 12 June 2012

Academic Editors: C. Foroulis and M. L. Quek

Copyright © 2012 Victor W. Wong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Isolated extrahepatic biliary tract injury following blunt abdominal trauma is rare. The underlying pathogenic mechanisms remain obscure, but include shear and/or compression forces on the biliary system. Associated morbidity rates are high and largely the result of delays in diagnosis. Imaging modalities commonly employed for diagnosis include ultrasonography, computed tomography, nuclear medicine, and magnetic resonance imaging. Percutaneous and endoscopic techniques have been used both for diagnosis and treatment. Treatment options are dictated by the stability of the patient and the extent of bile duct and concomitant injuries. In this paper, we discuss a case of isolated avulsion of the hepatic duct confluence following blunt trauma that was successfully managed with Roux-en-Y hepaticojejunostomy. To our knowledge, this specific injury pattern has not been previously reported.