SPONTANEOUS PERFORATION OF THE BILE DUCT: A RARE COMPLICATION OF PREVIOUS SURGERY ON THE BILIARY TRACT. CASE REPORT
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Abstract
ABSTRACT
Spontaneous perforation of the common bile duct (CBD) is a rare condition encountered in infants and children due to a variety of causes. It is even rarer in adults with very few cases reported in literature. The patient may present with acute abdomen secondary to biliary peritonitis or more commonly the presentation may be insidious with progressive abdominal distention and jaundice. Prompt recognition and early surgical intervention is the only solution to cure.
Previous surgery on the biliary tract is an uncommon cause of spontaneous CBD perforation and very few cases have been reported till now.
We present a case of biliary peritonitis secondary to CBD perforation in
an adult female patient who had undergone laparoscopic cholecystectomy for cholelithiasis eight years back. The cause of the perforation was increased intraductal pressure due to distal obstruction of the CBD secondary to a benign fibrotic stricture.
KEY WORDS: Common Bile Duct (MeSH), Peritonitis (MeSH), Cholecystectomy, Laparoscopic (MeSH), Choledochostomy (MeSH)
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References
Khanna R, Agarwal N, Singh AK, Khanna S, Basu SP. Spontaneous Common Bile Duct Perforation Presenting as Acute Abdomen. The Indian Journal of Surgery. 2010;72:407-8.
Rege SA, Lambe S, Sethi H, Gandhi A, Rohondia O. Spontaneous common bile duct perforation in adult: a case report and review. Int Surg. 2002; 87:81-2.
Marwah S, Sen J, Goyal A, Marwah N, Sharma JP. Spontaneous perforation of the common bile duct in an adult. Ann Saudi Med. 2005; 25:58-9.
Haller JO, Condon VR, Berdon WE, Oh KS, Price AP, Bowen A, et al. Spontaneous perforation of the common bile duct in children. Radiology. 1989; 172:621-4.
Goel P, Jain V, Manchanda V, Sengar M, Gupta CR, Mohta A. Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children. J Clin Diagn Res.2013; 7:1201-6
Upadhyaya VD, Kumar B, Singh M, Rudramani, Jaiswal S, Lal R, et al. Spontaneous biliary peritonitis: Is bed side diagnosis possible? Afr J Paediatr Surg. 2013; 10:112-6
Chu CS. Spontaneous perforation of the common hepatic duct: report of seven cases. Surg Gastroenterol. 1984; 3:69-76
Lochan R, Joypaul BV. Bile peritonitis due to intra-hepatic bile duct rupture. World J Gastroenterol. 2005; 11:6728-9
Mizutani S, Yagi A, Watanabe M, Maejima K, Komine O, Yoshino M, et al. T tube drainage for spontaneous perforation of the extrahepatic bile duct. Med Sci Monit. 2011; 17:CS8-11.
Malik HS, Cheema HA, Fayyaz Z, Hashmi MA, Parkash A, Waheed N, et al. Spontaneous perforation of bile duct, clinical presentation, laboratory work up, treatment and outcome. J Ayub Med Coll Abbottabad. 2016; 28:518-22.