Spontaneous biliary peritonitis, or delayed bile leak?

Gundara, Justin S.; Jancewicz, Stephen

doi:10.1016/j.ijscr.2011.05.002

Cited by 7 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Spontaneous perforation of the biliary tract is a disease entity in which wall of the extrahepatic or intrahepatic duct is perforated without any traumatic or iatrogenic injury [5] . The gall bladder, common bile duct, common hepatic duct and anomalous ducts of the liver are specific sites of biliary compromise; in most of the cases they are extrahepatic and are found frequently at the junction of the cyst duct and the common bile duct [6] , [9] . In our case, the leak was located in the middle third of the common bile duct.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Nontraumatic perforation of the bile duct is a disease in which the extrahepatic duct or intrahepatic duct is perforated spontaneously without traumatic or iatrogenic injury [ 7 ]. It has also been described as spontaneous perforation of the bile duct [ 3 , 6 – 10 ]. Although the most frequent cause of bile duct injury is iatrogenic, it sometimes occurs after invasive procedures such as ERCP and cholecystectomy [ 7 , 8 , 10 ].…”

Section: Case Presentationmentioning

confidence: 99%

“…The diagnosis of spontaneous biliary peritonitis is often delayed due to their nonspecific symptoms, which results in high morbidity. Early diagnosis of spontaneous biliary peritonitis and surgical intervention are of crucial importance [ 2 – 6 ]. We herein report a case of spontaneous biliary peritonitis.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous biliary peritonitis with common bile duct stones: report of a case

Hamura¹,

Haruki

Tsutsumi

et al. 2016

surg case rep

View full text Add to dashboard Cite

Spontaneous biliary peritonitis is rare in adults. We herein report a case of spontaneous biliary peritonitis. An 84-year-old man was admitted to our hospital for abdominal pain for 5 days. He developed fever, jaundice, and abdominal rigidity. Computed tomography (CT) revealed massive ascites in the omental bursa and around the liver. The ascites obtained by diagnostic paracentesis was dark yellow-green in color, which implied bile leakage. With a diagnosis of bile peritonitis, the patient underwent emergency exploratory laparotomy. There was massive biliary ascites in the abdominal cavity, especially in the omental bursa. Because exploration failed to demonstrate the perforation site in the gallbladder and biliary duct, we performed abdominal lavage alone. Postoperative endoscopic retrograde cholangiopancreatography showed stones in the common bile duct, and there was no evidence of biliary leakage. Endoscopic retrograde biliary drainage was performed using a plastic stent to reduce the pressure of the common bile duct. After the operation, the patient showed satisfactory recovery and started oral intake on postoperative day 8. However, the patient developed heart failure due to renal dysfunction with nephrotic syndrome at 1 month after the operation. With a diagnosis of rapidly progressive glomerulonephritis due to immune complex, the patient received steroid treatment for nephritis, diuretics, and carperitide for heart failure. Although heart failure and renal dysfunction improved by these treatment, the patients developed toxic epidermal necrolysis which was refractory to intensive treatments including steroid pulse and immunoglobulin, and the patient died 76 days after the operation.

show abstract

“…Spontaneous bile leaks are a rare occurrence with less than 50 cases reported in the literature . Of these, most are thought to be leaks secondary to increased pressure from obstruction or delayed iatrogenic duct injury . Kang and Lee documented a series of 11 patients who had spontaneous biliary perforations, all due to common bile duct or intrahepatic duct stones or cysts …”

mentioning

confidence: 99%

“…A further case reported by Gundara et al . of intrahepatic leak 4 years post cholecystectomy was postulated to be a delayed iatrogenic duct injury as the leak occurred near the gall bladder fossa …”

mentioning

confidence: 99%