Spontaneous common bile duct perforation-A rare clinical entity.
作者信息
Amberger Melissa, Burton Noelle, Tissera Gayanthia, Baltazar Gerard, Palmer Shani
机构信息
Department of Surgery, SBH Health System, Bronx, NY, USA; New York Institute of Technology College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY, USA; Sophie Davis School of Biomedical Education, New York, NY, USA.
Department of Surgery, Montefiore New Rochelle, New Rochelle, NY, USA.
出版信息
Int J Surg Case Rep. 2018;46:34-37. doi: 10.1016/j.ijscr.2018.03.030. Epub 2018 Mar 26.
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.
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