Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease
Background. Spontaneous perforation of the extrahepatic biliary system is a rare presentation of gall stones. Very few cases of bile duct perforation have been reported in adults. It is rarely suspected or correctly diagnosed preoperatively. Case Presentation. A 66-year-old female presented at the s...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/5321304 |
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| author | Duminda Subasinghe Edippuli Arachchige Don Udayakumara Upul Somathilaka Milinda Huruggamuwa |
| author_facet | Duminda Subasinghe Edippuli Arachchige Don Udayakumara Upul Somathilaka Milinda Huruggamuwa |
| author_sort | Duminda Subasinghe |
| collection | DOAJ |
| description | Background. Spontaneous perforation of the extrahepatic biliary system is a rare presentation of gall stones. Very few cases of bile duct perforation have been reported in adults. It is rarely suspected or correctly diagnosed preoperatively. Case Presentation. A 66-year-old female presented at the surgical emergency with 3 days’ history of severe upper abdominal pain with distension and repeated episodes of vomiting, as she had evidence of generalized peritonitis and underwent an exploratory laparotomy. A single 0.5 cm × 0.5 cm free perforation was present on the anterolateral surface of the common bile duct at the junction of cystic duct. A cholecystectomy and the CBD exploration were performed. Conclusion. Spontaneous perforation of the extrahepatic bile duct is a rare but important presentation of gall stones in adults. Therefore, awareness of the clinical presentation, expert ultrasound examination, and surgery are important aspects in the management. |
| format | Article |
| id | doaj-art-4eb4ab53626143e6bcf6f269cd1ff3fd |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-4eb4ab53626143e6bcf6f269cd1ff3fd2025-02-03T06:00:28ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/53213045321304Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones DiseaseDuminda Subasinghe0Edippuli Arachchige Don Udayakumara1Upul Somathilaka2Milinda Huruggamuwa3Department of General Surgery, General Hospital, 60000 Kurunegala, Sri LankaDepartment of General Surgery, General Hospital, 60000 Kurunegala, Sri LankaDepartment of General Surgery, General Hospital, 60000 Kurunegala, Sri LankaDepartment of General Surgery, General Hospital, 60000 Kurunegala, Sri LankaBackground. Spontaneous perforation of the extrahepatic biliary system is a rare presentation of gall stones. Very few cases of bile duct perforation have been reported in adults. It is rarely suspected or correctly diagnosed preoperatively. Case Presentation. A 66-year-old female presented at the surgical emergency with 3 days’ history of severe upper abdominal pain with distension and repeated episodes of vomiting, as she had evidence of generalized peritonitis and underwent an exploratory laparotomy. A single 0.5 cm × 0.5 cm free perforation was present on the anterolateral surface of the common bile duct at the junction of cystic duct. A cholecystectomy and the CBD exploration were performed. Conclusion. Spontaneous perforation of the extrahepatic bile duct is a rare but important presentation of gall stones in adults. Therefore, awareness of the clinical presentation, expert ultrasound examination, and surgery are important aspects in the management.http://dx.doi.org/10.1155/2016/5321304 |
| spellingShingle | Duminda Subasinghe Edippuli Arachchige Don Udayakumara Upul Somathilaka Milinda Huruggamuwa Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease Case Reports in Gastrointestinal Medicine |
| title | Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease |
| title_full | Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease |
| title_fullStr | Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease |
| title_full_unstemmed | Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease |
| title_short | Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease |
| title_sort | spontaneous perforation of common bile duct a rare presentation of gall stones disease |
| url | http://dx.doi.org/10.1155/2016/5321304 |
| work_keys_str_mv | AT dumindasubasinghe spontaneousperforationofcommonbileductararepresentationofgallstonesdisease AT edippuliarachchigedonudayakumara spontaneousperforationofcommonbileductararepresentationofgallstonesdisease AT upulsomathilaka spontaneousperforationofcommonbileductararepresentationofgallstonesdisease AT milindahuruggamuwa spontaneousperforationofcommonbileductararepresentationofgallstonesdisease |