Gallstone-induced perforation of the common bile duct in pregnancy.
Spontaneous perforation of the extrahepatic biliary system is a rare presentation of ductal stones. We report the case of a twenty-year-old woman presenting at term with biliary peritonitis caused by common bile duct (CBD) perforation due to an impacted stone in the distal common bile duct. The patient had suffered a single herald episode of acute gallstone pancreatitis during the third trimester. The patient underwent an emergency laparotomy, bile duct exploration, and removal of the ductal stone. The postoperative course was uneventful.
Dabbas
N
N
Department of Surgery, Southampton General Hospital, Tremona Road, Southampton, Hampshire SO16 6YD, UK.
Abdelaziz
M
M
Hamdan
K
K
Stedman
B
B
Abu Hilal
M
M