The rarity of @entity1157 secondary to blunt @entity1661 leads to frequent delays in diagnosis and inappropriate management. An illustrative case is therefore described and 94 reported cases are reviewed. In 53% of @entity1 , operation was delayed more than 24 hours. Early clinical findings of @entity3485 and acute abdomen are related to associated injuries. Late findings are abdominal distention and @entity1087 due to the @entity130 . Early diagnosis is facilitated by diagnostic paracentesis. @entity1 operated on during the first 24 hours after the injury had a statistically higher incidence of @entity1157 distal to the cystic duct (p less than 0.05) and of complete ductal severance (p less than 0.05). The association of location distal to the cystic duct and complete severance was highly significant (p less than 0.001). Management should include biliary exploration. Cholangiography using concentrated water-soluble contrast agents may help to find the anatomy of obscure injuries. The choice of surgical repair must be individualized according to the location and the magnitude of the injury.

Bile duct disruption by blunt XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile duct injury'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity3485 :: ('MESH:D020896', 'Disease') :: ['hypovolemia'] @entity130 :: ('MESH:D014947', 'Disease') :: ['biliary injury']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
