DOI: 10.36347/sjmcr.2018.v06i10.005

Pages: 745-750

Cystic dilatation of the common bile duct is the most common congenital bile duct abnormality after biliary atresia. It can be discovered at any age, usually accidentally or when it becomes symptomatic but it is exceptionally discovered following a trauma. Only early radical surgical treatment avoids secondary complications, the most serious of which are biliary cirrhosis and cancerization. In our case i twas a 4-year-old male who suffered a thoraco-abdominal trauma after being crushed by a cart which surgical exploration had revealed bilious fluid in the peritoneum and perforation of a cystic dilatation of the bile duct type I. After we suture the breach via three stitches and aspiration of the contents of the biliary sac which brought bilious fluid, we proceed at the placement of a drain of Kehr. This was the best thing to do to avoid a serious complication. This is what it’s described in literature.