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I n t e r n a t i o n a l C o n f e r e n c e o n
Physicians, Surgeons and
Case Reports
November 19-20 , 2018
Par i s , France
Medical Case Reports
ISSN: 2471-8041
PSCR 2018
C
ommon bile duct (CBD) perforation has been associated with invasive procedures and blunt trauma. Spontaneous rupture,
however, is an exceedingly rare occurrence in adults and has been reported less than 50 times in the world literature. This
case report discusses a 53 year-old-gentleman who was admitted with acute pancreatitis secondary to gallstones. He continued
to deteriorate clinically with bilious and enteric contents in an abdominal drain that was inserted to drain intra-abdominal
collections. This resulted in this patient being taken to theatre for a diagnostic laparoscopy with a pre-operative diagnosis of gall
bladder perforation. Intra-operatively, however, there was a 0.5 cm linear defect noted in the CBD. The gall bladder was intact.
CBD was repaired using a T-tube drain followed by abdominal lavage. The patient recovered well and was discharged on day 49
post-operatively with T- tube in situ. Pre-operative diagnosis of CBD perforation can be challenging. It should be considered as
a differential diagnosis in patients with bile present in the peritoneum. Early recognition is a key as prompt surgical intervention
leads to a better prognosis.
a.b.patel@doctors.org.ukSpontaneous rupture of the common bile duct (CBD)
in a 53-year-old Caucasian male admitted with
acute pancreatitis
Arpit Patel
Kings College Hospital, England
Med Case Rep. 2018, Volume:4
DOI: 10.21767/2471-8041-C2-006