Rupture of some portion of the extrahepatic biliary tree is a rare and often unrecognized complication of blunt trauma to the abdomen, and is usually the result of a blow or crush injury to this region. This is a report concerning a laceration of the common bile duct which followed blunt trauma to the abdomen in a patient who had undergone cholecystectomy and choledochotomy almost 2 years before his injury. An extensive search of the literature reveals no previous report of a case of similar nature.
In 1921, Rudberg1 reviewed the literature and collected 41 cases of traumatic rupture of the extrahepatic bile ducts. Lewis,2 in 1938, collected 6 additional cases from the literature, including reports by Wallace and Spiro,3 Long,4 and Edington,5 and added one of his own. In 1939, Lysaght6 described one case which followed a crush injury. Hicken and Stevenson7
STEWART R, SILEN W. Traumatic Rupture of the Common Bile DuctReview of the Literature and Report of a Case of Rupture Following Cholecystectomy and Choledochotomy. Arch Surg. 1961;82(3):387-390. doi:10.1001/archsurg.1961.01300090057011