@article {1246,
	title = {Blunt trauma to the extrahepatic biliary tract. A multicenter study.},
	journal = {Ann Ital Chir},
	volume = {77},
	year = {2006},
	month = {2006 Jul-Aug},
	pages = {319-22},
	abstract = {BACKGROUND/AIMS: Blunt trauma to the extrahepatic biliary tract is a rare and challenging injury The purpose of this paper is to review our experience of these injuries, with special reference to their clinical presentation.

PATIENTS AND METHODS: In a retrospective multicenter study of the records of a trauma-admitting in three hospitals, seven patients with blunt extrahepatic biliary tract trauma were identified, one with combined gallbladder and common bile duct injuries and six with a ruptured gallbladder.

RESULTS: Except for the patient with the common bile duct injury developing peritoneal signs during observation and being operated 24 hours post-admission, all other patients underwent early laparotomy for shock, peritonitis or positive diagnostic peritoneal lavage (DPL) caused by associated injuries. The common bile duct injury was treated with suture repair over a T tube and the gallbladder injuries with cholecystectomy, except for two cases in which a cholecystostomy was performed.

CONCLUSIONS: In patients with blunt trauma, especially to the right upper quadrant, a high index of suspicion and liberal use of diagnostic studies to exclude an isolated extrahepatic biliary tract injury is recommended.},
	keywords = {Adult, Aged, 80 and over, Bile Ducts, Extrahepatic, Female, Humans, Male, Retrospective Studies, Wounds, Nonpenetrating},
	issn = {0003-469X},
	author = {Pikoulis, Emmanouil and Daskalakis, Panayiotis and Avgerinos, Efthimios D and Gougoudi, Evangelia and Karavokyros, Ioannis and Lepp{\"a}niemi, Ari and Pavlakis, Emmanouil and Filippou, Dimitrios K and Psalidas, Nikolaos and Condilis, Nicolas and Tsatsoulis, Panayiotis}
}
