Case report of non-traumatic spontaneous intrahepatic bile duct rupture in an adult

Sümer, Fatih; Kayaalp, Cüneyt; Karagül, Servet; Ertuğrul, İlker; Yağcı, Mehmet Ali; Onur, Asım

doi:10.1016/j.ijscr.2016.02.015

Cited by 6 publications

(6 citation statements)

References 4 publications

(4 reference statements)

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“…Acredita-se que um total de 70% desses casos esteja relacionado à coledocolitíase 9 . As rupturas do ducto biliar intra-hepático do lobo esquerdo são mais frequentes do que as do lobo direito porque os ductos biliares estão localizados superficialmente 10 .…”

Section: Discussionunclassified

Fístula Biliar Relacionada À Coledocolitíase

Larissa

Kenji

Lorenzi

et al. 2022

RMP

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Section: Discussionunclassified

Fístula Biliar Relacionada À Coledocolitíase

Larissa

Kenji

Lorenzi

et al. 2022

RMP

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“…A total of 70% of these cases are thought to be related to choledocholithiasis [ 8 ]. Intrahepatic bile duct ruptures of the left lobe are more frequent than that of the right lobe because bile ducts are located superficially [ 9 ]. In this case, the bile duct that was located in the LTL was ruptured.…”

Section: Discussionmentioning

confidence: 99%

Biliary Peritonitis Caused by Spontaneous Bile Duct Rupture in the Left Triangular Ligament of the Liver after Endoscopic Sphincterotomy for Choledocholithiasis

Fukui¹,

Chochi²,

Maeda³

et al. 2021

Case Rep Gastroenterol

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Spontaneous bile duct rupture is a rare condition in adults, with only 70 cases reported. Increased bile duct wall pressure may lead to rupture and biliary peritonitis. In this patient, the bile duct ruptured in the hepatic left triangular ligament. A 91-year-old man underwent endoscopic retrograde cholangiopancreatography for choledocholithiasis and endoscopic retrograde biliary drainage (ERBD) placement. One week later, removal of the ERBD and common bile duct stones and an endoscopic sphincterotomy (EST) were performed. Four days later, the patient had abdominal pain, increased inflammatory reaction, and jaundice. Abdominal computed tomography showed ascites, bile duct dilatation and fluid collection under the liver (10 cm in diameter). Emergency surgery was performed to drain the fluid. On laparotomy, encapsulated biliary ascites was seen. To search for the site of the leak, after cholecystectomy, a tube (C-tube) was inserted into the common bile duct via cystic duct stump. Because of uncontrollable bleeding, after packing with surgical gauze, the operation was temporarily stopped. The next day, reoperation was performed. Intraoperative cholangiography with contrast dye revealed the perforation site in the left triangular ligament and a partial resection was performed. Bile excretion from the C-tube was subsequently observed, but the patient’s jaundice did not improve. Although endoscopic retrograde cholangiopancreatography revealed that the EST site was normal, ERBD was placed again, and the jaundice gradually improved. Although EST was performed in this case, biliary peritonitis resulting from spontaneous bile duct rupture occurred. This case was very informative because biliary perforation may occur even after EST.

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“…The clinical presentation of SPBT varies greatly from nonspecific abdominal pain to biliary peritonitis, without a characteristic history [4] , [9] , [10] , [17] . In most of the cases, the encapsulation of the bile within the omentum and mesentery prevents generalized peritonitis, forming bilomas; which are generally localized in the right upper quadrant of the abdomen.…”

Section: Discussionmentioning

confidence: 99%

Acute Abdomen Secondary to a Spontaneous Perforation of the Biliary Tract, a Rare Complication of Choledocholithiasis

Gómez-Torres

Rodríguez-Navarro

López-Lizárraga

et al. 2017

International Journal of Surgery Case Reports

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HighlightsThe spontaneous perforation of the biliary tract is an extremely rare cause of peritonitis.We present a case of spontaneous perforation of the biliary tract in a patient with a history of 4 previous ERCP, a current diagnosis of choledocholithiasis and a probable cholangitis.This is the first case of spontaneous perforation of the biliary tract treated with ultrasound-guided drainage and ERCP successfully reported in México.

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Case report of non-traumatic spontaneous intrahepatic bile duct rupture in an adult

Abstract: HighlightsSpontaneous bile duct perforation is a rare condition. Surgical treatment should be indicated only following careful consideration of the patient’s clinical and comorbidity status.

Cited by 6 publications

References 4 publications

Fístula Biliar Relacionada À Coledocolitíase

Fístula Biliar Relacionada À Coledocolitíase

Biliary Peritonitis Caused by Spontaneous Bile Duct Rupture in the Left Triangular Ligament of the Liver after Endoscopic Sphincterotomy for Choledocholithiasis

Acute Abdomen Secondary to a Spontaneous Perforation of the Biliary Tract, a Rare Complication of Choledocholithiasis

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