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TRAUMATIC DUODENAL TRANSECTION AT THE LEVEL OF THE AMPULLA OF VATER: SPHINCTEROPLASTY AS A TECHNICAL ADJUNCT TO PRIMARY REPAIR
Author(s) -
Harris J. P.,
Storey D. W.,
Grassby J. M.,
May J.
Publication year - 1986
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1986.tb02367.x
Subject(s) - duodenum , medicine , ampulla , ampulla of vater , bile duct , surgery , common bile duct , pancreas , general surgery , anatomy , carcinoma
Complete transection of the second part of the duodenum occurred as an isolated internal injury in a 20 year old female involved in a motor vehicle accident. Her terminal bile duct lay in the free edge of the proximal transected duodenum. A sphincteroplasty effectively shifted the termination of her bile and pancreatic drainage away from the free edge of the transected duodenum, simplifying repair of the injury. This avoided the more complex alternatives of duct reimplantation or pancreaticoduodenal resection.