<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Pikoulis, Emmanouil</style></author><author><style face="normal" font="default" size="100%">Daskalakis, Panayiotis</style></author><author><style face="normal" font="default" size="100%">Avgerinos, Efthimios D</style></author><author><style face="normal" font="default" size="100%">Gougoudi, Evangelia</style></author><author><style face="normal" font="default" size="100%">Karavokyros, Ioannis</style></author><author><style face="normal" font="default" size="100%">Leppäniemi, Ari</style></author><author><style face="normal" font="default" size="100%">Pavlakis, Emmanouil</style></author><author><style face="normal" font="default" size="100%">Filippou, Dimitrios K</style></author><author><style face="normal" font="default" size="100%">Psalidas, Nikolaos</style></author><author><style face="normal" font="default" size="100%">Condilis, Nicolas</style></author><author><style face="normal" font="default" size="100%">Tsatsoulis, Panayiotis</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Blunt trauma to the extrahepatic biliary tract. A multicenter study.</style></title><secondary-title><style face="normal" font="default" size="100%">Ann Ital Chir</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Ann Ital Chir</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Adult</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged, 80 and over</style></keyword><keyword><style  face="normal" font="default" size="100%">Bile Ducts, Extrahepatic</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Retrospective Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Wounds, Nonpenetrating</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2006</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2006 Jul-Aug</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">77</style></volume><pages><style face="normal" font="default" size="100%">319-22</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">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.</style></abstract><issue><style face="normal" font="default" size="100%">4</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/17139961?dopt=Abstract</style></custom1></record></records></xml>