[Rupture of the biliary tract in the liver hilum region following closed abdominal injuries. General review about 2 cases]. / Les ruptures de la voie biliaire dans le hile du foie au cours des traumatismes fermés de l'abdomen. Revue générale à propos de 2 cas.

Two cases of traumatic rupture of the biliary tract in the liver hilum region are reported. Similar cases (27 patients) reported in the published literature are discussed and the physiopathological, pathological, and clinical characteristics described. Road accidents account for the majority of these cases of biliary tract injury, which are seen mainly in young males. Diagnosis is confirmed either during emergency laparotomy for haemoperitoneum, the presence of bile leading to cholangiography which establishes the diagnosis, or after several days from the presence of jaundice and signs of a peritoneal effusion, when urgent surgery was not required. Treatment is by direct suture or hepatojejunal anastomosis, choice being dictated by two parameters: the type of lesion and the time when it is repaired.