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Extrahepatic bile duct injury

Extrahepatic bile duct injury caused by trauma is a part of hilar injury. Due to the deep location of extrahepatic bile duct and many important blood vessels and organs around it, simple bile duct injury under the action of external force is rare, and most of them are accompanied by injuries of portal vein, inferior vena cava, liver, pancreas, stomach and duodenum. It is easy to cover up the manifestations of bile duct injury due to shock caused by concomitant internal bleeding or peritonitis caused by gastrointestinal perforation. Once missed, it will lead to severe biliary peritonitis, secondary abdominal infection and life-threatening. Even if it is saved, the treatment of biliary leakage and biliary stricture is also very complex.


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