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SPONTANEOUS PERFORATION OF THE COMMON HEPATIC DUCT: A NEW PRESENTATION
Author(s) -
FISHER JEFFREY J.,
LESLIE GREGORY J.
Publication year - 1979
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.1445-2197.1979.tb05879.x
Subject(s) - medicine , jaundice , vomiting , common hepatic duct , duct (anatomy) , common bile duct , perforation , nausea , cystic duct , presentation (obstetrics) , common duct , case presentation , surgery , general surgery , punching , materials science , metallurgy
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.