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Case report of non-traumatic spontaneous intrahepatic bile duct rupture in an adult

Show simple item record Sumer, Fatih Kayaalp, Cuneyt Karagul, Servet Ertugrul, Ismail Yagci, Mehmet Ali Onur, Asim 2019-09-17T07:19:23Z 2019-09-17T07:19:23Z 2016
dc.identifier.citation Sumer, F . Kayaalp, C . Karagul, S. Ertugrul, I . Yagci, MA . Onur, A . (2016). Case report of non-traumatic spontaneous intrahepatic bile duct rupture in an adult. Cilt:21. 104 -106 ss. tr_TR
dc.description.abstract INTRODUCTION: Spontaneous rupture of the biliary duct, a rare condition in adults, is difficult to diagnose preoperatively and presents with acute abdominal symptoms. The treatment of this rare condition should be based on the individual's clinical status. We present peripheric biliary duct rupture (segment three) treated with external segment III drainage and postoperative endoscopic removal of the stones. PRESENTATION OF CASE: An 82-year-old male patient presented with abdominal pain and fever. An ultrasound (US) revealed a solid gall stone lesion, 3 cm in diameter, in liver segments three and four with additional intra-abdominal fluid accumulation without coexisting free air. A diagnostic laparotomy was then performed because the patient had signs of peritonitis. Exploration revealed a biliary leakage from the posterior surface of segment three. An external biliary drainage catheter was inserted to the perforated segment III duct via a 6 French (6F) feeding catheter. He was discharged after 10 days and his intracholedocal stent was removed postoperative after three months. The patient continues to be monitored. DISCUSSION: Spontaneous rupture of the intrahepatic biliary duct is a rare condition. Although occurrence is frequently reported as spontaneous, the majority of cases are related to choledocholithiasis. The role of surgical treatment in cases of spontaneous bile duct rupture is unclear. When biliary peritonitis is present, drainage of contaminated biliary fluid, T-tube drainage, closure of the biliary duct, as well as primary disease conditions, should be reviewed prior to treatment. CONCLUSION: Surgical treatment of spontaneous biliary duct rupture should be indicated only after careful consideration of the patient's clinical and comorbidity status. (C) 2016 The Authors. Published by Elsevier Ltd. on behalf of IJS Publishing Group Ltd. tr_TR
dc.language.iso eng tr_TR
dc.publisher Elsevıer scı ltd, the boulevard, langford lane, kıdlıngton, oxford ox5 1gb, oxon, england tr_TR
dc.relation.isversionof 10.1016/j.ijscr.2016.02.015 tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.subject Spontaneous perforatıon tr_TR
dc.subject hepatıc duct tr_TR
dc.title Case report of non-traumatic spontaneous intrahepatic bile duct rupture in an adult tr_TR
dc.type article tr_TR
dc.relation.journal Internatıonal journal of surgery case reports tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.identifier.volume 21 tr_TR
dc.identifier.issue 0 tr_TR
dc.identifier.startpage 104 tr_TR
dc.identifier.endpage 106 tr_TR

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