The European journal of surgery = Acta chirurgica
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To report our experience in the management of accidental injuries to the structures of the hepatoduodenal ligament. ⋯ Blunt injuries to the hepatoduodenal ligament are easily overlooked, leading to delayed morbidity. Complete transsections of the bile duct are best managed by choledochojejunostomy with a Roux-en-Y loop; T tube choledochostomy is usually sufficient when treating small partial lesions of lobar bile ducts; and most non-circumferential vascular lesions are best treated by suture.
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To describe our experience in the diagnosis and treatment of haematoma of the rectus abdominis. ⋯ The single most important factor in the diagnosis of haematoma of the rectus abdominis is awareness of its existence; it should be included as a differential in all patients who present with an acute abdomen. Once the diagnosis has been confirmed (by ultrasonography or computed tomography) patients should be treated conservatively as those that are operated on are at risk of developing complications.