Spontaneous bile duct perforation is a very rare entity in adults. In this report, we present a 75year-old patient with a history of extraction of bile duct stones and serial stent placement because of chronic pancreatitis related-benign stricture who underwent surgery due to biliary peritonitis. This is the first case of common bile duct perforation following removal of biliary stent. We thought that an elective surgical enterobiliary diversion should have been performed in this patient after detecting the persistence of the stricture on ERCP instead of planning future endoscopic procedures.
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