Biliary injuries Biliary injuries Isolated traumatic biliary injuries are rare and occur mainly from penetrating trauma, often in association with injuries to other structures that lie in close proximity . The common bile duct can be repaired over a T-tube or drained and referred to appropriate care as part of damage control, or even ligated. Biliary injuries Isolated traumatic biliary injuries are rare and occur mainly from penetrating trauma, often in association with injuries to other structures that lie in close proximity . The common bile duct can be repaired over a T-tube or drained and referred to appropriate care as part of damage control, or even ligated. Biliary injuries Isolated traumatic biliary injuries are rare and occur mainly from penetrating trauma, often in association with injuries to other structures that lie in close proximity . The common bile duct can be repaired over a T-tube or drained and referred to appropriate care as part of damage control, or even ligated.