• Ulus Travma Acil Cer · Jan 2016

    Case Reports

    A rare cause of acute abdomen: spontaneous common hepatic duct perforation.

    • Hüseyin Pülat, Oktay Karaköse, Mehmet Fatih Benzin, Mehmet Zafer Sabuncuoğlu, and Recep Çetin.
    • Department of Surgical Oncology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey.
    • Ulus Travma Acil Cer. 2016 Jan 1; 22 (1): 103-5.

    AbstractSpontaneous extrahepatic bile duct perforation is generally seen in infants. Although rarely seen in adults, it may be seen with fatal bile peritonitis. Therefore, for a patient presenting with acute abdominal symptoms, differential diagnosis must be made with radiological imaging such as abdominal ultrasonography or computed tomography, without any loss of time. In these imaging tests, in cases of gallstone disease together with perihepatic free fluid or choledocus which can not be monitored, it should be considered in the differential diagnosis. An emergency surgical intervention should be planned to avoid serious complications. The aim of this paper was to present the rare cause of acute abdomen which developed associated with spontaneous common hepatic canal perforation in an adult.

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