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Spontaneous rupture of the common hepatic duct associated with acute pancreatitis: a case report

Article scientifique 2017 Anglais

Résumé

BACKGROUND: Rupture of the common bile duct is a life-threatening condition, usually observed after a trauma or in association with choledocholithiasis or an obstructive tumor of the bile duct. However, a spontaneous rupture of the common bile duct is a rare entity. CASE PRESENTATION: We report a new observation of a spontaneous rupture of the common bile duct, associated with biliary peritonitis and pancreatitis, in a 15-year-old North African girl. Etiological aspects, specificities of clinical presentation, means of diagnosis, as well as surgical and perioperative management are discussed. CONCLUSIONS: The diagnosis of spontaneous rupture of the common bile duct is a challenge for both radiologist and surgeon. Beyond the difficulty of diagnosis, which requires radiological exploration, management of the subsequent biliary peritonitis involves urgent surgery, life-supporting measures, and close monitoring.

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Moussa, M., Triki, W., Karray, O., Marzouk, I., Bouchoucha, S. (2017). Spontaneous rupture of the common hepatic duct associated with acute pancreatitis: a case report. https://doi.org/10.1186/s13256-017-1283-6

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