Spontaneous Rupture of the Hepatic Duct.
- Author:
Chul HAN
1
;
Won Hoe KOO
;
Jung Ho ROH
;
Chol Kyoon CHO
;
Hyun Jong KIM
Author Information
1. Department of Surgery, Chonnam University Medical School, Kwang ju, Korea.
- Publication Type:Case Report
- Keywords:
Hepatic duct;
Spontaneous rupture
- MeSH:
Abdominal Pain;
Adult;
Bile;
Bile Ducts;
Biliary Tract;
Common Bile Duct;
Diagnosis;
Drainage;
Fever;
Hepatic Duct, Common*;
Humans;
Infant;
Jaundice;
Peritonitis;
Rupture, Spontaneous*;
Sepsis;
Urinary Bladder
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2000;4(2):233-235
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous rupture of the bile duct is an exceedingly rare and usually recognized fatal cause of peritonitis and intraabdominal sepsis. Several reports of isolated cases have demonstrated its rarity in the absence of operative trauma or severe injury. Perforation of the biliary system occurs most frequently in the gall bladder, which perforation of the hepatic duct is less common, being described mainly in infants, but extremely rarely in adults. The diagnosis of the spontaneous rupture of the bile duct depends on meticulous clinical examination and imaging investigation. The basic principles of treatment are to stop the bile leakage, evacuate the extravasated bile, apply decortication of the encapsulated fluid collection and provide adequate drainage. We report on a patient with spontaneous perforation of the right hepatic duct who presented with abdominal pain, jaundice and fever. Exploratory surgery showed proximal common bile duct obstruction with right hepatic duct perforation.
