부산대학교 도서관

Transection of the common bile duct due to blunt abdominal trauma is very rarely experienced. Consequently, a choice of reconstruction depends on the extent, shape and length of the injury. In this case, transection of the common bile duct and extensive rupture of the second portion of the duodenal lateral wall were observed. However, parenchyma of the pancreas and papilla of Vater were not injured. We performed reconstruction with duodenojejunal side to side anastomosis using the same loop of the choledochojejunostomy. This method is applicable to extended rupture of the duodenum forming a double tract reconstruction that enables sufficient decompression of the duodenum.