Spontaneous perforation of the common bile duct in a pediatric patient. Case report and short review of the literature

Introduction: Spontaneous perforation of the common bile duct is rare. The cause is usually unknown, although it is sometimes related to the malformation of the bile duct. Clinical case: Female of I year, with abdominal distention, hyporexia and fever, tomography with ascites, surgical findings included retroperitoneal bilioma, peritonitis and perforation of common bile duct. Block resection and primary hepato-duodenal anastomosis were performed. Discussion: Spontaneous perforation of the common bile duct tend to evolve insidiously and delay in diagnosis is frequent. Surgical management is decisive, and there are different techniques described. Conclusion: A high index of suspicion is important, treatment must be individualized according to each patient.