Korean J Gastrointest Endosc.  1992 May;12(1):87-90.

A Case of Spontaneous Perforation of the Right Intrahepatic Duct - An ERCP Diagnosis

Abstract

Spontaneous perforation of bile duct in adults is very rare, with less than 30 cases described in the literature to date. We repoit a case of a 65-year-old man who presented with severe colicky abdominal pain and fever, just like symptoms of peritonitis. ERCP provided a preoperative noninvasive confirmation of the diagnosis of the rupture of right intrahepatic duct. The patient was performed T-tube choledochotomy and drainage of retroperitoneal bile collection. The etiolgy, diagnosis, and treatment of spontaneous perforation of bile duct is discussed.

Keyword

Spontaneous perforation of the bile duct

MeSH Terms

Abdominal Pain
Adult
Aged
Bile
Bile Ducts
Cholangiopancreatography, Endoscopic Retrograde*
Diagnosis*
Drainage
Fever
Humans
Peritonitis
Rupture
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