title: Challenges in the diagnosis and management of spontaneous bile duct perforation: A case report and review of literature.
abstract: We report a case of 14-year-old male, who presented to us with complaints of severe pain in abdomen, vomiting, and inability to pass feces and flatus. He was diagnosed as a case of peritonitis after careful history, examination, and investigations. The exact cause of peritonitis was not known. Exploratory laparotomy was done, and it was found that there was perforation of the right hepatic duct about 1 cm proximal to its confluence with the left hepatic duct. Perforation was closed around the T-tube. Postoperative T-tube cholangiogram was done after 3 weeks which confirmed the free passage of dye into the duodenum, and there was no leakage of dye. T-Tube was removed 4 weeks after the operation, and the patient was discharged in satisfactory condition. Postoperative follow-up was done for 3 months, and it was uneventful.
authors.affiliation: Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Shahbaz Habib
authors.initials: SH
authors.lastname: Faridi
authors.affiliation: Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Aslam
authors.affiliation: Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Bushra
authors.initials: B
authors.lastname: Siddiqui
authors.affiliation: Department of Paediatric Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Rizwan A
authors.initials: RA
authors.lastname: Khan
keywords: Bile duct; cholangiography; perforation; peritonitis