Minimal invasive therapy of an isolated rupture of the right hepatic duct after blunt abdominal trauma: Case report and review of the literature

SummaryLaceration of bile ducts is rare, usually caused by iatrogenic trauma most commonly laparoscopic cholecystectomy. Bile duct injury caused by blunt abdominal trauma is rare. In most of these cases there are also other abdominal lesions such as liver laceration. Isolated laceration is only described in a few cases in the literature. We describe a case of isolated rupture of the right hepatic duct in a 41-year-old male with a blunt abdominal trauma. He was treated with an endoscopically placed endoprothesis and a percutaneous inserted biliary catheter (PTCD) and recovered uneventfully. We also discuss international literature with regard to diagnosis and treatment of biliary trauma, which is often not recognized at primary assessment.