Spontaneous extra-hepatic bile duct perforation postpartum.

Autor:	Bediako-Bowan AA; Department of Surgery, Korle Bu Teaching Hospital, P.O. Box 77, Accra, Ghana., Dakubo JC; Department of Surgery, Korle Bu Teaching Hospital, P.O. Box 77, Accra, Ghana ; Department of Surgery, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana., Asempa M; Department of Surgery, Korle Bu Teaching Hospital, P.O. Box 77, Accra, Ghana.
Jazyk:	angličtina
Zdroj:	Ghana medical journal [Ghana Med J] 2013 Dec; Vol. 47 (4), pp. 204-7.
Abstrakt:	Spontaneous bile duct perforation is an unusual cause of acute abdomen. It is an extremely rare condition and rarely suspected or correctly diagnosed pre-operatively. A case of a 29 year old adult female, presenting with peritonitis, 2 days post partum is presented. Exploratory laparotomy showed biliary peritonitis secondary to a perforated common bile duct. She had a cholecystectomy and closure of the perforation over a T-tube. She recovered well and was discharged home. Awareness of spontaneous common bile duct perforation as a rare cause of biliary peritonitis, avoids undue delay in the diagnosis and thus improve prognosis. Cholecystectomy and drainage of bile duct using a T-tube is emphasized.
Databáze:	MEDLINE
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