Spontaneous common bile duct perforation: a rare case report

Authors

  • Vidit Department of General Surgery, PGIMS, Rohtak, Haryana, India
  • Manish Jangra Department of Neurology, PGIMS, Rohtak, Haryana, India
  • Hansraj Ranga Department of General Surgery, PGIMS, Rohtak, Haryana, India
  • Bhavinder K. Arora Department of General Surgery, PGIMS, Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20240592

Keywords:

Spontaneous common bile duct perforation, T-tube cholangiogram, Choledocholithiasis, Magnetic resonance cholangiopancreaticography

Abstract

Spontaneous common bile duct (CBD) perforation is a rare and life threatening clinical condition. The course of management and choice of surgical intervention depends on clinical presentation; site, size, nature of defect. It is usually reported in infants and adults due to congenital anomalies and following invasive procedure respectively but spontaneous CBD perforation in older age groups is rare without underlying cause presenting as acute abdomen. In this case report, an 82-year-old female presented to the emergency room with an acute abdomen diagnosed as spontaneous CBD perforation and its prompt management and its successful outcome.

Metrics

Metrics Loading ...

References

Marwah S, Sen J, Goyal A, Marwah N, Sharma JP. Spontaneous perforation of common bile duct in adult. Ann Saudi Med. 2005;25(1):58-9.

Kumar BP, Choudhury D, Rai H, Ram N, Chattopadhyay D, Prashant RR. Spontaneous perforation common bile duct: A rare complication of choledocholithiasis. Indian J Surg. 2009;71(2):92-4.

Khanna R, Agarwal N, Singh AK, Khanna S, Basu SP. Spontaneous common bile duct perforation presenting as acute abdomen. Indian J Surg. 2010;72(5):407-8.

Hamura R, Haruki K, Tsutsumi J, Takayama S, Shiba H, Yanaga K. Spontaneous biliary peritonitis with common bile duct stones: report of a case. Surg Case Rep. 2016;2(1):103.

Kang SB, Han HS, Min SK, Lee HK. Nontraumatic perforation of the bile duct in adults. Arch Surg. 2004;139(10):1083-7.

Subasinghe D, Udayakumara EA, Somathilaka U, Huruggamuwa M. Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease. Case Rep Gastrointest Med. 2016;5321304.

Amberger M, Burton N, Tissera G, Baltazar G, Palmer S. Spontaneous common bile duct perforation-A rare clinical entity. Int J Surg Case Rep. 2018;46:34-7.

Bouzid A, Fendri S, Rejab H, Trigui A, Mejdoub Y, Boujelbene S. Spontaneous perforation of the common bile duct in adults presenting as biliary peritonitis: a case report and literature review. Ann Med Surg (Lond). 2023;85(3):460-5.

Downloads

Published

2024-02-29

How to Cite

Vidit, Jangra, M., Ranga, H., & Arora, B. K. (2024). Spontaneous common bile duct perforation: a rare case report. International Surgery Journal, 11(3), 542–544. https://doi.org/10.18203/2349-2902.isj20240592

Issue

Section

Case Reports