scholarly journals Spontaneous Common Bile Duct Perforation in Full Term Pregnancy: A Rare Case Report and Review of Literature

2020 ◽  
Author(s):  
Matiullah Masroor ◽  
Mohammad Arif Sarwari
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Adult Population ◽  
Exploratory Laparotomy ◽  
Interesting Case ◽  
High Morbidity ◽  
Rare Presentation ◽  
Generalize Peritonitis ◽  
Diffuse Abdominal Pain ◽  
Rare Case Report

Abstract Background: Spontaneous biliary system perforation is a rare presentation in clinical practice. It is even rare in adult population than infants. The condition is rarely suspected and diagnosed preoperatively because of small number of cases, vague sign and symptoms and ambiguous presentation.Case presentation: we are presenting an interesting case of spontaneous perforation of common bile duct in a 16 years old lady presented a week after her first delivery to the emergency department with complain of diffuse abdominal pain, abdominal distention, fever, vomiting and constipation. She was having generalize peritonitis but the cause of peritonitis was unknown despite of all available investigations performed. She underwent exploratory laparotomy and a perforation in the supra duodenal region of common bile duct was found intraoperatively. Common bile duct repair over T-tube and cholecystectomy performed and patient recovered.Conclusion: Spontaneous biliary perforation is a rare cause of acute abdomen in adults and extremely rare in pregnancy and its belated diagnoses and management is leading to high morbidity and mortality. All physicians especially surgeons should be aware of its possibility and consider it a cause of peritonitis on differential diagnosis especially when there is no apparent etiology available for the presentation.

scholarly journals Spontaneous common bile duct perforation in full term pregnancy: a rare case report and review of literature

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matiullah Masroor ◽  
Mohammad Arif Sarwari
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Exploratory Laparotomy ◽  
Interesting Case ◽  
High Morbidity ◽  
Rare Presentation ◽  
Diffuse Abdominal Pain ◽  
Generalized Peritonitis ◽  
Rare Case Report ◽  
The Common

Abstract Background Spontaneous biliary system perforation is a rare presentation in clinical practice especially in adults. It is rarely suspected and diagnosed preoperatively due to small number of cases, vague sign and symptoms, and ambiguous presentation. Case presentation We describe an interesting case of spontaneous perforation of the common bile duct in a 16 year-old female who presented a week after her first birth to the emergency department with complaints of diffuse abdominal pain, abdominal distention, fever, vomiting, and constipation. She was having generalized peritonitis but the etiology was unclear despite a thorough workup. She underwent exploratory laparotomy, and a perforation in the supra duodenal region of the common bile duct was found intraoperatively. The common bile duct was repaired over T-tube, and cholecystectomy was performed; the patient was recovered uneventfully. Conclusion Spontaneous biliary perforation is a rare cause of acute abdomen in adults and extremely rare in pregnancy. Its delayed diagnoses and management can lead to a high morbidity and mortality. All physicians, especially surgeons, should be aware of this possibility and consider it a cause of peritonitis on differential diagnosis particularly when there is no apparent etiology available for presentation.

scholarly journals Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Duminda Subasinghe ◽  
Edippuli Arachchige Don Udayakumara ◽  
Upul Somathilaka ◽  
Milinda Huruggamuwa
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Extrahepatic Bile Duct ◽  
Exploratory Laparotomy ◽  
Spontaneous Perforation ◽  
Rare Presentation ◽  
Free Perforation ◽  
Generalized Peritonitis ◽  
Gall Stones ◽  
Upper Abdominal

Background. Spontaneous perforation of the extrahepatic biliary system is a rare presentation of gall stones. Very few cases of bile duct perforation have been reported in adults. It is rarely suspected or correctly diagnosed preoperatively.Case Presentation. A 66-year-old female presented at the surgical emergency with 3 days’ history of severe upper abdominal pain with distension and repeated episodes of vomiting, as she had evidence of generalized peritonitis and underwent an exploratory laparotomy. A single 0.5 cm×0.5 cm free perforation was present on the anterolateral surface of the common bile duct at the junction of cystic duct. A cholecystectomy and the CBD exploration were performed.Conclusion. Spontaneous perforation of the extrahepatic bile duct is a rare but important presentation of gall stones in adults. Therefore, awareness of the clinical presentation, expert ultrasound examination, and surgery are important aspects in the management.

scholarly journals Toothpick inside the Common Bile Duct: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
V. O. Brunaldi ◽  
M. O. Brunaldi ◽  
R. Masagao ◽  
C. Silva ◽  
H. Masuda ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Foreign Bodies ◽  
Epigastric Pain ◽  
Abdominal Ultrasound ◽  
Mortality Rates ◽  
High Morbidity ◽  
Endoscopic Retrograde ◽  
The Common

The incidence and prevalence of foreign body (FB) ingestion are difficult to estimate. Unlike other foreign bodies, the ingestion of a toothpick is very uncommon and carries high morbidity and mortality rates. We report a case of a 73-year-old female patient presenting mid-term epigastric pain. Abdominal ultrasound revealed a slightly dilated common bile duct (CBD) and magnetic resonance showed an irregular filling failure in distal CBD and gallstones. Endoscopic Retrograde Cholangiopancreatography revealed major papilla on the edge of a diverticulum and confirmed the distal filling failure. After sphincterotomy, a partially intact toothpick was extracted from the CBD. Neither fistulas nor perforation signs were found. Literature related to foreign bodies and toothpick ingestion was reviewed and some hypotheses to explain the reported case were created. To our knowledge, this is the first report of a toothpick lodged inside the biliary tract.

scholarly journals Gallbladder Ascariasis : A Rare Case Report

Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 95-97 ◽  
Author(s):  
Akhilesh Kumar Jha ◽  
Rajesh Acharya ◽  
Kamal Subedi ◽  
Anuj Shrestha ◽  
Krishna Rauniyar ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Ascaris Lumbricoides ◽  
Rare Case ◽  
Ampulla Of Vater ◽  
Human Beings ◽  
Helminthic Infection ◽  
Rare Case Report

 Ascariasis is the most prevalent helminthic infection to infest human beings caused by Ascaris lumbricoides. Rarely the worm migrates through ampulla of Vater and may enter common bile duct. This is a case report of live Ascaris lumbricodes in gallbladder, on USG. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 95-97                                                         

scholarly journals Jejunal Intussusception: A Rare Presentation of Carcinoid Tumor

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Umashankkar Kannan ◽  
Amir A. Rahnemai-Azar ◽  
Ashish N. Patel ◽  
Vinaya Gaduputi ◽  
Ajay K. Shah
Keyword(s):  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Pathological Examination ◽  
Rare Presentation ◽  
Metastatic Carcinoid ◽  
Diffuse Abdominal Pain ◽  
Well Differentiated ◽  
Small Bowel Segment ◽  
Distal Jejunum

A 55-year-old male presented to the emergency department with sudden onset of diffuse abdominal pain for one day. Physical examination was remarkable for tenderness in the umbilical region. A CT scan of the abdomen showed intussusception involving the jejunum without any mass. The patient then underwent an exploratory laparotomy. During surgery, the distal jejunum was intussuscepted with mesenteric lymphadenopathy. Liver showed nodular deposits in both lobes of the liver. The involved small bowel segment was resected with primary anastomosis and liver was biopsied. Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum. The liver and mesenteric deposits were positive for metastatic carcinoid. Patient recovered well without any complications.

scholarly journals Gallstone-Induced Perforation of the Common Bile Duct in Pregnancy

HPB Surgery ◽  
2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
N. Dabbas ◽  
M. Abdelaziz ◽  
K. Hamdan ◽  
B. Stedman ◽  
M. Abu Hilal
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Emergency Laparotomy ◽  
Gallstone Pancreatitis ◽  
Third Trimester ◽  
Rare Presentation ◽  
Distal Common Bile Duct ◽  
The Third ◽  
The Common ◽  
Acute Gallstone Pancreatitis

Spontaneous perforation of the extrahepatic biliary system is a rare presentation of ductal stones. We report the case of a twenty-year-old woman presenting at term with biliary peritonitis caused by common bile duct (CBD) perforation due to an impacted stone in the distal common bile duct. The patient had suffered a single herald episode of acute gallstone pancreatitis during the third trimester. The patient underwent an emergency laparotomy, bile duct exploration, and removal of the ductal stone. The postoperative course was uneventful.

scholarly journals Laparoscopic Choledochal Cyst Resection with Simplified Common Bile Duct Reconstruction in an Adult Population: A Case Series

2019 ◽  
Vol 12 (2) ◽  
pp. 76-82
Author(s):  
Daniel Gomez ◽  
Jean A Pulido ◽  
Ricardo Villarreal ◽  
Andres C Mendoza ◽  
Daniela Moreno ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Adult Population ◽  
Case Series ◽  
Bile Duct Reconstruction

scholarly journals Benign papillomatosis of common bile duct in children: A rare case report

2014 ◽  
Vol 19 (1) ◽  
pp. 44 ◽  
Author(s):  
Minu Bajpai ◽  
Manisha Jana ◽  
Amit Singh ◽  
Nitin Sharma ◽  
ShasankaShekhar Panda
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Rare Case ◽  
Rare Case Report

scholarly journals Emergency open surgery with a duodenotomy and successful removal of an impacted basket following a complicated endoscopic retrograde cholangiopancreatography procedure: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ibrahim Abu Shakra ◽  
Maxim Bez ◽  
Amitai Bickel ◽  
Mahran Badran ◽  
Fahed Merei ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Open Surgery ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Biliary Stones ◽  
Endoscopic Retrograde ◽  
Abdominal Ultrasonography ◽  
The Common

Abstract Background Current management of choledocholithiasis entails the use of endoscopic retrograde cholangiopancreatography (ERCP) and clearance of the common bile duct. A rare complication of this procedure is the impaction of the basket by a large stone, which necessitates lithotripsy. Here we report a case of an impacted basket during ERCP, which was managed by open surgery with a duodenotomy and the manual removal of the basket. Case presentation A 79-year-old Caucasian man was admitted to our department with yellowish discoloration of urine, skin and eyes. Abdominal ultrasonography showed a slightly thickened gallbladder, multiple gallbladder stones, dilated intrahepatic bile ducts and extrahepatic bile extending to 1.1 cm. A computed tomography (CT) scan demonstrated a stone in the common bile duct, which caused dilation of the biliary ducts. The patient was diagnosed with obstructive jaundice secondary to choledocholithiasis; and underwent an ERCP, a sphincterotomy and stone extraction. Four days following discharge, the patient was readmitted with jaundice, abdominal pain, vomiting and fever. He was diagnosed with ascending cholangitis and treated initially with antibiotics. A second ERCP revealed a dilated common bile duct and choledocholithiasis. Stone removal with a basket failed, as did mechanical lithotripsy. Finally, the wires of the basket were ruptured and stacked in the common bile duct together with the stone. During exploratory laparotomy, adhesiolysis, a Kocher maneuver of the duodenum and a subtotal cholecystectomy were performed. Choledochotomy did not succeed in removing the impacted wires together with the stone. Therefore, a duodenotomy and an extension of the sphincterotomy were performed, followed by high-pressure lavage of the common bile duct to remove additional small biliary stones. The choledochotomy and duodenotomy were closed by a one-layer suture, and a prophylactic gastroenterostomy was performed to prevent leakage from the common bile duct and the duodenum. The postoperative course was satisfactory. Conclusions This is the first report in the literature of removal of an impacted Dormia basket through the papilla by performing a duodenotomy and an extension of the sphincterotomy, followed by gastroenterostomy.

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