Spontaneous extra-hepatic bile duct perforation postpartum

Spontaneous bile duct perforation is an unusual cause of acute abdomen. It is an extremely rare condition and rarely suspected or correctly diagnosed pre-operatively. A case of a 29 year old adult female, presenting with peritonitis, 2 days post partum is presented. Exploratory laparotomy showed bil...

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Published inGhana medical journal Vol. 47; no. 4; pp. 204 - 207
Main Authors Bediako-Bowan, A A A, Dakubo, J C B, Asempa, M
Format Journal Article
LanguageEnglish
Published Ghana Ghana Medical Association 01.12.2013
Subjects
Adult
Case Reports
Cholecystectomy
Common Bile Duct Diseases - complications
Common Bile Duct Diseases - diagnosis
Common Bile Duct Diseases - surgery
Drainage - instrumentation
Drainage - methods
Female
Humans
Peritonitis - diagnosis
Peritonitis - etiology
Peritonitis - surgery
Postpartum Period
Pregnancy
Pregnancy Complications, Infectious - diagnosis
Pregnancy Complications, Infectious - etiology
Pregnancy Complications, Infectious - surgery
Rupture, Spontaneous - surgery
Treatment Outcome
Cholangiogram
Pregnancy
Bile duct perforation
Pre-eclampsia
Peritonitis
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Summary:Spontaneous bile duct perforation is an unusual cause of acute abdomen. It is an extremely rare condition and rarely suspected or correctly diagnosed pre-operatively. A case of a 29 year old adult female, presenting with peritonitis, 2 days post partum is presented. Exploratory laparotomy showed biliary peritonitis secondary to a perforated common bile duct. She had a cholecystectomy and closure of the perforation over a T-tube. She recovered well and was discharged home. Awareness of spontaneous common bile duct perforation as a rare cause of biliary peritonitis, avoids undue delay in the diagnosis and thus improve prognosis. Cholecystectomy and drainage of bile duct using a T-tube is emphasized.
Bibliography:Conflict of interest: None declared
ISSN:0016-9560
2616-163X