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SPONTANEOUS PERFORATION OF THE COMMON BILE DUCT: REPORT OF A CASE
Author(s) -
Plehwe Walter E.,
Glenn David C.
Publication year - 1978
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1978.tb00044.x
Subject(s) - medicine , laparotomy , common bile duct , bile duct , epigastric pain , cholecystectomy , abscess , cystic duct , surgery , perforation , jaundice , general surgery , materials science , punching , vomiting , metallurgy
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 no 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.