Open AccessChallenges in the diagnosis and management of spontaneous bile duct perforation: A case report and review of literature
Author(s) -
Shahbaz Habib Faridi,
Mohammed Aslam,
Bushra Siddiqui,
Rizwan Khan
Publication year - 2015
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/0971-9261.159030
Subject(s) - medicine , exploratory laparotomy , surgery , duodenum , vomiting , laparotomy , peritonitis , bile duct , perforation , abdomen , duct (anatomy) , general surgery , common bile duct , abdominal pain , materials science , punching , metallurgy
We report a case of 14-year-old male, who presented to us with complaints of severe pain in abdomen, vomiting, and inability to pass feces and flatus. He was diagnosed as a case of peritonitis after careful history, examination, and investigations. The exact cause of peritonitis was not known. Exploratory laparotomy was done, and it was found that there was perforation of the right hepatic duct about 1 cm proximal to its confluence with the left hepatic duct. Perforation was closed around the T-tube. Postoperative T-tube cholangiogram was done after 3 weeks which confirmed the free passage of dye into the duodenum, and there was no leakage of dye. T-Tube was removed 4 weeks after the operation, and the patient was discharged in satisfactory condition. Postoperative follow-up was done for 3 months, and it was uneventful.