title: Spontaneous cystic duct perforation associated with acalculous cholecystitis.
abstract: Spontaneous perforation of the extrahepatic biliary tree is rare in adults. Although perforation of the hepatic, common hepatic, common bile, and cystic ducts has been reported, review of the English literature reveals only four cases of cystic duct perforation, each attributed to calculi. We herein report the first known case of spontaneous perforation of the cystic duct in the absence of biliary calculi.
authors.affiliation: Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
authors.forename: Sachin H
authors.initials: SH
authors.lastname: Shah
authors.forename: John D
authors.initials: JD
authors.lastname: Webber
mesh_terms: D000368:Aged; D001649:Bile Duct Diseases / Q000209:etiology* / Q000601:surgery*; D017734:Bile Ducts, Extrahepatic / Q000473:pathology* / Q000601:surgery*; D002764:Cholecystitis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous; D016896:Treatment Outcome