Spontaneous common bile duct perforation-A rare clinical entity

被引:7
作者
Amberger, Melissa [1 ,4 ,5 ]
Burton, Noelle [2 ]
Tissera, Gayanthia [3 ]
Baltazar, Gerard [1 ,4 ,5 ]
Palmer, Shani [2 ]
机构
[1] SBH Hlth Syst, Dept Surg, Bronx, NY USA
[2] Montefiore New Rochelle, Dept Surg, New Rochelle, NY USA
[3] Georges Univ, West Indies, Grenada
[4] New York Inst Technol, Coll Osteopath Med, Old Westbury, NY 11568 USA
[5] Sophie Davis Sch Biomed Educ, New York, NY USA
关键词
Common bile duct; Biliary peritonitis; Choledocholithiasis;
D O I
10.1016/j.ijscr.2018.03.030
中图分类号
R61 [外科手术学];
学科分类号
摘要
INTRODUCTION: Spontaneous common bile duct perforation is an uncommon clinical entity in both adults and children. Few case reports have been published since the first clinical description in 1882. Our work has been reported in line with SCARE criteria. PRESENTATION OF CASE: Herein, we describe the case of a 28 year-old female who suffered spontaneous common bile duct perforation while admitted for choledocholithiasis. DISCUSSION: The perforation occurred while in-hospital, and extensive imaging and laboratory tests characterized the disease in detail. To our knowledge, this is the first report of spontaneous common bile duct perforation witnessed from pre-perforation through definitive management. CONCLUSION: Physicians and Surgeons should seek out this uncommon diagnosis in the patient with suspected Choledocholithiasis who suddenly become peritoneal on physical exam so that definitive care can be expedited. (C) 2018 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
引用
收藏
页码:34 / 37
页数:4
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