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HPB Surgery
Volume 2008, Article ID 259141, 9 pages
http://dx.doi.org/10.1155/2008/259141
Review Article

Evolving Role of Endoscopic Retrograde Cholangiopancreatography in Management of Extrahepatic Hepatic Ductal Injuries due to Blunt Trauma: Diagnostic and Treatment Algorithms

1Department of Surgery, St Luke's Hospital and Health Network, Bethlehem, PA 18015, USA
2Regional Level I Resource Trauma Center, St Luke's Hospital and Health Network, Bethlehem, PA 18015, USA
3University of Pennsylvania Trauma Network, Philadelphia, PA 19104, USA
4STAR/OPUS12 Foundation, 304 Monroe Boulevard, King of Prussia, PA 19406, USA

Received 8 February 2007; Revised 13 April 2007; Accepted 2 August 2007

Academic Editor: Sherif Hanna

Copyright © 2008 Nikhil P. Jaik 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.

Linked References

  1. R. R. Ivatury, M. Rohman, M. Nallathambi, P. M. Rao, Y. Gunduz, and W. M. Stahl, “The morbidity of injuries of the extra-hepatic biliary system,” Journal of Trauma, vol. 25, no. 10, pp. 967–973, 1985. View at Google Scholar
  2. F. Michelassi and J. H. Ranson, “Bile duct disruption by blunt trauma,” Journal of Trauma, vol. 25, no. 5, pp. 454–457, 1985. View at Google Scholar
  3. D. L. Dawson and G. J. Jurkovich, “Hepatic duct disruption from blunt abdominal trauma: case report and literature review,” Journal of Trauma, vol. 31, no. 12, pp. 1698–1702, 1991. View at Google Scholar
  4. A. Eid, G. Almogy, A. J. Pikarsky, Y. Binenbaum, E. Shiloni, and A. Rivkind, “Conservative treatment of a traumatic tear of the left hepatic duct: case report,” Journal of Trauma, vol. 41, no. 5, pp. 912–913, 1996. View at Publisher · View at Google Scholar
  5. B. C. Sharma, A. Maini, and V. A. Saraswat, “Endoscopic management of perforation of right hepatic duct following non-surgical abdominal trauma,” HPB Surgery, vol. 10, no. 4, pp. 245–247, 1997. View at Google Scholar
  6. M. S. Arkovitz, H. Liang, H. L. Pachter, P. Alexander, R. M. Newman, and G. K. Gittes, “Complete biliary avulsion from blunt compression injury,” Journal of Pediatric Surgery, vol. 34, no. 10, pp. 1559–1562, 1999. View at Publisher · View at Google Scholar
  7. D. W. Sanders and D. A. Andrews, “Conservative management of hepatic duct injury after blunt trauma: a case report,” Journal of Pediatric Surgery, vol. 35, no. 10, pp. 1503–1505, 2000. View at Publisher · View at Google Scholar
  8. S. J. Gerndt, S. P. Seidel, P. A. Taheri, and J. L. Rodriguez, “Biliary tract injury following blunt abdominal trauma: case reports,” Journal of Trauma, vol. 39, no. 3, pp. 612–615, 1995. View at Publisher · View at Google Scholar
  9. M. L. Poli, F. Lefebvre, H. Ludot, M. A. Bouche-Pillon, S. Daoud, and G. Tiefin, “Nonoperative management of biliary tract fistulas after blunt abdominal trauma in a child,” Journal of Pediatric Surgery, vol. 30, no. 12, pp. 1719–1721, 1995. View at Publisher · View at Google Scholar
  10. S. L. Moulton, E. C. Downey, D. S. Anderson, and F. P. Lynch, “Blunt bile duct injuries in children,” Journal of Pediatric Surgery, vol. 28, no. 6, pp. 795–797, 1993. View at Publisher · View at Google Scholar
  11. R. P. Sharpe, M. L. Nance, and P. W. Stafford, “Nonoperative management of blunt extrahepatic biliary duct transection in the pediatric patient: case report and review of the literature,” Journal of Pediatric Surgery, vol. 37, no. 11, pp. 1612–1616, 2002. View at Publisher · View at Google Scholar
  12. N. P. Jaik, S. P. Stawicki, and B. A. Hoey, “Emerging role of ERCP in blunt extrahepatic hepatic duct injuries,” Gastroenterology, vol. 130, no. 4, supplement 2, p. A863, 2006. View at Google Scholar
  13. T. Wainwright, “Letter,” Medical Physics, pp. 362–364, 1799. View at Google Scholar
  14. S. Bin Yahib, A. Al Rabeeah, and A. Al Sammarrai, “An unusual bile duct injury in a child after blunt abdominal trauma,” Journal of Pediatric Surgery, vol. 34, no. 7, pp. 1161–1163, 1999. View at Publisher · View at Google Scholar
  15. M. D. Bourque, N. Spigland, A. L. Bensoussan, L. H. Garel, and H. Blanchard, “Isolated complete transection of the common bile duct due to blunt trauma in a child, and review of the literature,” Journal of Pediatric Surgery, vol. 24, no. 10, pp. 1068–1070, 1989. View at Publisher · View at Google Scholar
  16. M. Nathan, J. Gates, and S. J. Ferzoco, “Hepatic duct confluence injury in blunt abdominal trauma: case report and synopsis on management,” Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 13, no. 5, pp. 350–352, 2003. View at Publisher · View at Google Scholar
  17. Y. Sakamoto, N. Tanaka, T. Furuya et al., “A simple stenting method for management of hepatic ductal injury secondary to blunt abdominal trauma: two case reports,” Journal of Trauma, vol. 42, no. 6, pp. 1165–1168, 1997. View at Publisher · View at Google Scholar
  18. J. F. Gately and E. J. Thomas, “Post-traumatic ischemic necrosis of the common bile duct,” Canadian Journal of Surgery, vol. 28, no. 1, pp. 32–33, 1985. View at Google Scholar
  19. M. Salam, J. V. Glowniak, R. M. Vetto, J. E. Jarboe, J. E. Haines, and G. T. Krishnamurthy, “Detection of bile leakage from traumatic right hepatic duct laceration with technetium-99m DISIDA cholescintigraphy,” Clinical Nuclear Medicine, vol. 12, no. 8, pp. 589–591, 1987. View at Publisher · View at Google Scholar
  20. A. F. Roy, R. B. Passi, R. W. Lapointe, V. C. McAlister, M. H. Dagenais, and W. J. Wall, “Bile duct injury during laparoscopic cholecystectomy,” Canadian Journal of Surgery, vol. 36, no. 6, pp. 509–516, 1993. View at Google Scholar
  21. K. B. Jones and E. Thomas, “Traumatic rupture of the hepatic duct demonstrated by endoscopic retrograde cholangiography,” Journal of Trauma, vol. 25, no. 5, pp. 448–449, 1985. View at Google Scholar
  22. K. F. Binmoeller, R. M. Katon, and R. Shneidman, “Endoscopic management of postoperative biliary leaks: review of 77 cases and report of two cases with biloma formation,” The American Journal of Gastroenterology, vol. 86, no. 2, pp. 227–231, 1991. View at Google Scholar
  23. K. Sugimoto, Y. Asari, T. Sakaguchi, T. Owada, and K. Maekawa, “Endoscopic retrograde cholangiography in the nonsurgical management of blunt liver injury,” Journal of Trauma, vol. 35, no. 2, pp. 192–199, 1993. View at Google Scholar
  24. A. Muin, Y. P. Leong, and S. K. S. Tay, “Laceration of the common hepatic duct bifurcation by blunt abdominal trauma,” Injury, vol. 23, no. 6, pp. 422–423, 1992. View at Publisher · View at Google Scholar
  25. J. A. Rodriguez-Montes, E. Rojo, and L. G.-S. Martín, “Complications following repair of extrahepatic bile duct injuries after blunt abdominal trauma,” World Journal of Surgery, vol. 25, no. 10, pp. 1313–1316, 2001. View at Publisher · View at Google Scholar
  26. W. P. Maier, W. P. Lightfoot, and G. P. Rosemond, “Extrahepatic biliary ductal injury in closed trauma,” The American Journal of Surgery, vol. 116, no. 1, pp. 103–108, 1968. View at Publisher · View at Google Scholar
  27. K. M. Lewis, “Traumatic rupture of the bile ducts,” Annals of Surgery, vol. 108, no. 2, pp. 237–242, 1938. View at Publisher · View at Google Scholar
  28. P. M. McFadden, G. Tanner, and A. Kitahama, “Traumatic hepatic duct injury: new approach to surgical management,” The American Journal of Surgery, vol. 139, no. 2, pp. 268–271, 1980. View at Publisher · View at Google Scholar
  29. G. Nuzzo, G. Clemente, F. Cadeddu, and M. Mutignani, “Complete trauma disruption of the left hepatic duct: endoscopic treatment after failure of surgical repair,” Journal of Trauma, vol. 51, no. 1, pp. 159–161, 2001. View at Publisher · View at Google Scholar
  30. M. W. Hills, A. J. Richardson, N. Tait, S. A. Deane, and J. M. Little, “Non-iatrogenic trauma to the extrahepatic biliary tract,” Australian and New Zealand Journal of Surgery, vol. 63, no. 3, pp. 190–194, 1993. View at Google Scholar
  31. J. Cipolla, S. P. Stawicki, W. S. Hoff et al., “A proposed algorithm for managing the open abdomen,” The American Surgeon, vol. 71, no. 3, pp. 202–207, 2005. View at Google Scholar
  32. R. M. Zollinger Jr., R. T. Keller, and C. A. Hubay, “Traumatic rupture of the right and left hepatic ducts,” Journal of Trauma, vol. 12, no. 7, pp. 563–569, 1972. View at Google Scholar
  33. P. G. Bade, S. R. Thomson, A. Hirshberg, and J. V. Robbs, “Surgical options in traumatic injury to the extrahepatic biliary tract,” British Journal of Surgery, vol. 76, no. 3, pp. 256–258, 1989. View at Publisher · View at Google Scholar
  34. J. S. Monk Jr., J. S. Church, and N. Agarwal, “Repair of a traumatic noncircumferential hepatic bile duct defect using a vein patch: case report,” Journal of Trauma, vol. 31, no. 11, pp. 1555–1557, 1991. View at Google Scholar
  35. M. L. McDonald, M. B. Farnell, D. M. Nagorney, D. M. Ilstrup, and J. M. Kutch, “Benign biliary strictures: repair and outcome with a contemporary approach,” Surgery, vol. 118, no. 4, pp. 582–591, 1995. View at Publisher · View at Google Scholar
  36. H. A. Pitt, T. Miyamoto, S. K. Parapatis, R. K. Tompkins, and W. P. Longmire Jr., “Factors influencing outcome in patients with postoperative biliary strictures,” The American Journal of Surgery, vol. 144, no. 1, pp. 14–21, 1982. View at Publisher · View at Google Scholar
  37. S. Misra, G. B. Melton, J. F. Geschwind, A. C. Venbrux, J. L. Cameron, and K. D. Lillemoe, “Percutaneous management of bile duct strictures and injuries associated with laparoscopic cholecystectomy: a decade of experience,” Journal of the American College of Surgeons, vol. 198, no. 2, pp. 218–226, 2004. View at Publisher · View at Google Scholar
  38. K. D. Lillemoe, G. B. Melton, J. L. Cameron et al., “Postoperative bile duct strictures: management and outcome in the 1990s,” Annals of Surgery, vol. 232, no. 3, pp. 430–441, 2000. View at Publisher · View at Google Scholar
  39. W. H. Nealon and F. Urrutia, “Long-term follow-up after bilioenteric anastomosis for benign bile duct stricture,” Annals of Surgery, vol. 223, no. 6, pp. 639–648, 1996. View at Publisher · View at Google Scholar
  40. R. W. Parks and T. Diamond, “Non-surgical trauma to the extrahepatic biliary tract,” British Journal of Surgery, vol. 82, no. 10, pp. 1303–1310, 1995. View at Publisher · View at Google Scholar
  41. L. W. Way and J. E. Dunphy, “Biliary stricture,” The American Journal of Surgery, vol. 124, no. 2, pp. 287–295, 1972. View at Publisher · View at Google Scholar
  42. E. A. J. Rauws and D. J. Gouma, “Endoscopic and surgical management of bile duct injury after laparoscopic cholecystectomy,” Best Practice & Research: Clinical Gastroenterology, vol. 18, no. 5, pp. 829–846, 2004. View at Publisher · View at Google Scholar
  43. H. Almaramhi and A. R. Al-Qahtani, “Traumatic pediatric bile duct injury: nonoperative intervention as an alternative to surgical intervention,” Journal of Pediatric Surgery, vol. 41, no. 5, pp. 943–945, 2006. View at Publisher · View at Google Scholar
  44. P. Compagnon, M. Lakehal, and K. Boudjema, “Roux-en-Y limb anastomosed to small biliary duct,” Annales de Chirurgie, vol. 128, no. 3, pp. 191–194, 2003. View at Google Scholar
  45. K. Hasegawa, M. Makuuchi, K. Kubota, T. Takayama, and M. Watanabe, “Reconstruction of small and fragile bile ducts without mucosa-to-mucosa anastomosis,” Archives of Surgery, vol. 135, no. 5, pp. 596–599, 2000. View at Publisher · View at Google Scholar
  46. S. K. D'Amours, R. K. Simons, C. H. Scudamore, A. G. Nagy, and D. R. G. Brown, “Major intrahepatic bile duct injuries detected after laparotomy: selective nonoperative management,” Journal of Trauma, vol. 50, no. 3, pp. 480–484, 2001. View at Publisher · View at Google Scholar
  47. Z. Cope, “Extravasation of bile,” British Journal of Surgery, vol. 13, no. 49, pp. 120–129, 1925. View at Publisher · View at Google Scholar
  48. L. Long, “Traumatic rupture of the bile ducts,” Southern Medical Journal, vol. 22, pp. 236–240, 1929. View at Google Scholar
  49. J. H. Walker, “Traumatic rupture of the bile-ducts,” The Lancet, vol. 265, no. 6793, pp. 969–971, 1953. View at Publisher · View at Google Scholar
  50. J. A. Baty, “Traumatic rupture of hepatic duct,” British Journal of Surgery, vol. 43, no. 181, pp. 553–555, 1956. View at Publisher · View at Google Scholar
  51. S. M. Schaer, J. M. Dziob, and R. K. Brown, “Bile duct rupture from external blunt trauma,” The American Journal of Surgery, vol. 89, no. 2, pp. 745–747, 1955. View at Publisher · View at Google Scholar
  52. J. J. Foman and J. R. Hindhaw, “Rupture of the hepatic ducts due to blunt trauma,” Surgery, vol. 39, pp. 322–324, 1956. View at Google Scholar
  53. I. F. Nikishin, “Rupture of the extrahepatic ducts following a nonpenetrating injury to the abdomen,” The Journal of the International College of Surgeons, vol. 36, pp. 573–580, 1961. View at Google Scholar
  54. S. W. Hartman and E. M. Greaney Jr., “Traumatic injuries to the biliary system in children,” The American Journal of Surgery, vol. 108, pp. 150–156, 1964. View at Publisher · View at Google Scholar
  55. R. B. Noone, J. A. Mackie, and R. Stoner, “Liver and bile duct laceration from blunt abdominal trauma in children,” Annals of Surgery, vol. 166, no. 5, pp. 824–828, 1967. View at Publisher · View at Google Scholar
  56. J. H. Sewell, “Avulsion of the left hepatic duct,” Annals of Surgery, vol. 165, no. 4, pp. 628–631, 1967. View at Publisher · View at Google Scholar
  57. C. D. Haynes, K. S. Given, H. H. Stone, and R. B. Smith III, “Nonsurgical trauma to the extrahepatic bile ducts,” Southern Medical Journal, vol. 62, no. 11, pp. 1323–1326, 1969. View at Google Scholar
  58. R. L. Estrada and N. G. Sutherland, “Subparietal or non-penetrating traumatic rupture of the biliary tree,” British Journal of Surgery, vol. 56, no. 2, pp. 85–91, 1969. View at Publisher · View at Google Scholar
  59. G. R. Williams, “Experiences with surgical reconstruction of hepatic duct,” Annals of Surgery, vol. 179, no. 5, pp. 540–548, 1974. View at Google Scholar
  60. F. D. Brenneman, S. B. Rizoli, B. R. Boulanger, and S. S. Hanna, “Blunt left hepatic duct injury,” Injury, vol. 25, no. 7, pp. 465–467, 1994. View at Publisher · View at Google Scholar
  61. H. U. Baer, A. Czerniak, J.-J. Moser, and W. Schweizer, “Segmental bile duct injury after blunt abdominal trauma: a difficult diagnosis,” Hepatogastroenterology, vol. 42, no. 2, pp. 103–105, 1995. View at Google Scholar
  62. M. Hayakawa, A. Horiguchi, S. Ishihara, K. Miura, S. Miyakawa, and K. Mizuno, “Complete transection of the left hepatic duct due to blunt abdominal trauma,” Hepatogastroenterology, vol. 43, no. 11, pp. 1395–1398, 1996. View at Google Scholar
  63. N. L. Simstein, “Isolated blunt trauma injury to the hepatic duct,” International Surgery, vol. 85, no. 1, pp. 55–56, 2000. View at Google Scholar