Christensen A B, Baekgaard N, Blichert-Toft M
Acta Chir Scand. 1977;143(7-8):495-7.
A 55-year-old female, previously cholecystectomized, was admitted to hospital with signs of severe acute abdomen. At laparotomy, bile peritonitis was found, but the site of leakage could not be discovered. The biliary tree was otherwise normal and without stones. The treatment was confined to drainage of the common bile duct by inserting a T-tube. In spite of intensive postoperative care the patient died. Autopsy showed a perforation opening in the common hepatic duct on the posterior wall and a solitary stone was detected in the adjacent retroperitoneal tissue. The mechanism to this rare condition is discussed and a review of earlier similar cases is given. The benefit of routine cholegraphy in order to avoid retained stones is briefly mentioned.
一名55岁女性，既往有胆囊切除术史，因严重急性腹痛症状入院。剖腹探查时发现胆汁性腹膜炎，但漏胆汁的部位未被发现。胆管树其他方面正常且无结石。治疗措施为通过插入T形管引流胆总管。尽管术后进行了精心护理，患者仍死亡。尸检显示肝总管后壁有一个穿孔开口，在相邻的腹膜后组织中发现了一颗孤立的结石。本文讨论了这种罕见情况的发病机制，并回顾了早期类似病例。简要提及了常规胆管造影对于避免残留结石的益处。
