Fisher J J, Leslie G J
Aust N Z J Surg. 1979 Oct;49(5):580-1. doi: 10.1111/j.1445-2197.1979.tb05879.x.
A case is reported of spontaneous perforation of the common hepatic duct in a patient presenting with a six-day history of painless jaundice and a one-day history of nausea and vomiting. An endoscopic retrograde cannulation of the common bile duct revealed a large stone in the distal end of the grossly dilated biliary tree. At operation a large collection of bile, sealed off by omentum, was found beneath the liver. A perforation was present in the common hepatic duct close to its junction with the cystic duct.
报告了一例肝总管自发性穿孔病例，该患者有无痛性黄疸6天病史及恶心呕吐1天病史。经内镜逆行胆管插管显示，在明显扩张的胆管树远端有一大块结石。手术时发现肝脏下方有一大团被大网膜包裹的胆汁。肝总管在其与胆囊管交界处附近存在穿孔。
