Chronic Pancreatitis Presented with Spontaneous Bile Duct Rupture in a Child-a Case Report

Acute abdomen due to biliary peritonitis is mainly seen post laparoscopic cholecystectomy. Most common cause of primary biliary peritonitis is gall bladder perforation. Spontaneous bile duct perforation is a rare disorder, mostly seen in pediatric age group. Congenital anomalies, choledocholithiasis, and acute/chronic pancreatitis are some of the causes of spontaneous bile duct perforation. Early diagnosis and appropriate management is necessary to prevent morbidity and mortality. We report a case of a 9-year-old girl, with no past medical history, who presented with acute abdomen at a nearby hospital. She was referred to us after exploratory laparotomy, lavage, and drainage done outside. At our center, patient was evaluated clinically; operative findings from previous surgery were noted. After resuscitation, computed tomography of abdomen was done. Exploratory laparotomy was performed. Operative findings, management, and postoperative course are discussed.