Biliary stricture after blunt abdominal trauma is an extremely rare condition. There is no definitive treatment for a biliary stricture caused by blunt abdominal trauma. Nonsurgical intervention, especially endoscopic treatment has recently been used and has shown promising results.
This case, led by Dr. TH Kim and his colleagues from the Gyeongsang National University, was published on April 14, 2008 in the World Journal of Gastroenterology.
Blunt abdominal trauma, such as an injury sustained during a motor vehicle crash, can be a rare cause of extrahepatic biliary stricture. Our case was suprapancreatic biliary stricture complicated by mesenteric tear following a traffic accident. We performed endoscopic stent treatment, which was successful in relieving the biliary stricture and there was no recurrence of the biliary stricture during the follow-up period.
The possible mechanisms underlying the development of a suprapancreatic biliary stricture are as follows: (1) Inflammation, consequent fibrosis and stricture resulting from a ductal tear; (2) disruption of the blood supply to the biliary duct due to trauma, and (3) a compressed biliary duct lumen by an intramural or extrabiliary hematoma.
Endoscopic stenting for a biliary stricture after blunt abdominal trauma is associated with low morbidity and excellent long-term outcome. Therefore, endoscopic stenting is the treatment of choice for biliary strictures that develop after blunt abdominal trauma.
|Contact: Jing Zhu|
World Journal of Gastroenterology