Abstract
Spontaneous common bile duct (CBD) perforation is an unusual cause of acute abdomen. It is rarely suspected or correctly diagnosed preoperatively. Clinical presentation is as biliary peritonitis. The common causes are CBD calculus disease, tumors of the bile duct, choledochal cyst and sometimes idiopathic. Treatment is surgical and consists of CBD exploration and repair over a T tube.
References
Marwah S, Sen J, Goyal A, Marwah N, Sharma JP (2005) Spontaneous perforation of the common bile duct in an adult. Ann Saudi Med 25(1):58–59
Lilly JR, Weintraub WH, Altman RP (1974) Spontaneous perforation of the extrahepatic bile ducts and bile peritonitis in infancy. Surgery 75:664–673
Kang SB, Han HS, Min SK, Lee HK et al (2004) Nontraumatic perforation of the bile duct in adults. Arch Surg 139(10):1083–1087
Steinhoff NG, Tucker GL (1971) Nontraumatic perforation of the common duct. Am J Surg 121(3):334–337
Rege SA, Lamba S, Sethi H (2002) Spontaneous common bile duct perforation in adult: a case report and review. Int Surg 87:81–82
Haller JO, Condon VR, Derdon WE (1989) Spontaneous perforation of common bile duct in children. Radiology 172:621–624
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Khanna, R., Agarwal, N., Singh, A.K. et al. Spontaneous Common Bile Duct Perforation Presenting as Acute Abdomen. Indian J Surg 72, 407–408 (2010). https://doi.org/10.1007/s12262-010-0113-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-010-0113-5