Plehwe W E, Glenn D C
Aust N Z J Surg. 1978 Oct;48(5):557-8. doi: 10.1111/j.1445-2197.1978.tb00044.x.
A case is reported of spontaneous perforation of the common bile duct in a 59-year-old woman. Recurrent episodes of epigastric and right hypochondriac pain over one year culminated in the onset of obstructive jaundice. There were not signs of peritonitis, and laparotomy revealed an abscess surrounding a perforation in the common bile duct just distal to the cystic duct. A cholesterol gallstone was present at the site of perforation. A paracolon bacterium, providence alcalifaciens, was isolated from the abscess. The patient made an uncomplicated recovery after cholecystectomy and drainage of the bile duct.
报道了一例59岁女性胆总管自发性穿孔的病例。一年来反复出现上腹部和右季肋部疼痛，最终发展为梗阻性黄疸。没有腹膜炎体征，剖腹手术发现胆囊管远端胆总管穿孔周围有一个脓肿。穿孔部位有一颗胆固醇结石。从脓肿中分离出一种副结肠细菌，即产碱普罗威登斯菌。患者在胆囊切除和胆管引流术后顺利康复。
