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Laway MA, Bakshi IH, Shah M, et al. Biliary Peritonitis due to Spontaneous Perforation of Choledochus: A Case Report. Indian J Surg. 2011;75:96-8doi: 10.1007/s12262-011-0351-1.
Laway, M. A., Bakshi, I. H., Shah, M., Paray, S. A., & Malla, M. S. (2013). Biliary Peritonitis due to Spontaneous Perforation of Choledochus: A Case Report. The Indian journal of surgery, 7596-8. https://doi.org/10.1007/s12262-011-0351-1
Laway, Mushtaq A, et al. "Biliary Peritonitis due to Spontaneous Perforation of Choledochus: A Case Report." The Indian journal of surgery vol. 75 (2013): 96-8. doi: https://doi.org/10.1007/s12262-011-0351-1
Laway MA, Bakshi IH, Shah M, Paray SA, Malla MS. Biliary Peritonitis due to Spontaneous Perforation of Choledochus: A Case Report. Indian J Surg. 2013 Jun;75:96-8. doi: 10.1007/s12262-011-0351-1. Epub 2011 Nov 23. PMID: 24426527; PMCID: PMC3693252.
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Indian J Surg. 2013 Jun;75:96-8. doi: 10.1007/s12262-011-0351-1. Epub 2011 Nov 23.

Biliary Peritonitis due to Spontaneous Perforation of Choledochus: A Case Report.

The Indian journal of surgery

Mushtaq A Laway, Iftikhar H Bakshi, Mubbashir Shah, Showkat A Paray, Mohd Sadiq Malla

Affiliations

  1. Department of General and Minimal Access Surgery, Sher-i- Kashmir Institute of Medical Sciences, F-24, C-Block, Married Doctors Hostel, Kashmir, India.
  2. Department of Anesthesia and Critical Care, Sher-i- Kashmir Institute of Medical Sciences, Kashmir, India.

PMID: 24426527 PMCID: PMC3693252 DOI: 10.1007/s12262-011-0351-1

Abstract

Spontaneous perforation of common bile duct (CBD) in an adult is an exceedingly rare phenomenon. It is mostly seen in infants due to congenital anomalies. The diagnosis of biliary tract perforations is often delayed due to their nonspecific symptoms, which results in high morbidity. Early diagnosis and aggressive therapy are mandatory to alleviate this condition. Delayed diagnoses and treatment may have more serious consequences in terms of morbidity as well as mortality. We herein report spontaneous perforation of CBD in a middle-aged male who presented to our accident and emergency department with acute abdominal pain. Exploratory laparotomy revealed a small perforation with necrosed margins in the supraduodenal part of CBD, which was managed by a T-tube drain. However, no apparent cause for the perforation was found.

Keywords: Common bile duct perforation; Peritonitis; Spontaneous; T-tube decompression

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