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Cholecystitis

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

Acute Pancreatitis I: Introduction

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...

Acute Pancreatitis I: Introduction

Acute Pancreatitis I: Introduction

Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:

Chronic Bowel Disorders: Introduction

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...

Chronic Pancreatitis II: Pathophysiology

Chronic Pancreatitis II: Pathophysiology

Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...

Esophageal Perforation-I: Introduction

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.

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Related Experiment Video

Updated: May 27, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Spontaneous biliary peritonitis, or delayed bile leak?

Justin S Gundara¹, Stephen Jancewicz

¹Department of Surgery, Royal North Shore Hospital, University of Sydney, Australia.

International Journal of Surgery Case Reports

|November 19, 2011

Summary

This study details a rare case of spontaneous biliary peritonitis caused by an intrahepatic bile duct perforation, occurring four years after cholecystectomy. It highlights the importance of considering delayed bile leaks post-surgery.

Keywords:

Bile leak Biliary peritonitis Cholecystectomy

Related Experiment Videos

Last Updated: May 27, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Area of Science:

Gastroenterology
Abdominal Surgery
Hepatobiliary Medicine

Background:

Spontaneous biliary peritonitis is a rare condition, typically originating from extrahepatic sources.
Intrahepatic bile duct perforation is an exceptionally uncommon cause of biliary peritonitis.

Purpose of the Study:

To report a rare case of spontaneous biliary peritonitis due to intrahepatic bile duct perforation.
To discuss the diagnostic challenges and implications of delayed bile leaks following cholecystectomy.

Main Methods:

Case presentation of a 31-year-old woman with acute abdominal pain post-cholecystectomy.
Diagnostic workup included laparoscopy and endoscopic retrograde cholangiopancreatography (ERCP).

Main Results:

Laparoscopy revealed bilious fluid but did not identify the bile leak source.
ERCP successfully localized the bile leak to an anomalous right hepatic duct radical.

Conclusions:

Spontaneous biliary peritonitis is a rare cause of acute abdominal pain, with intrahepatic ductal rupture being particularly rare.
Delayed bile leak, occurring years after cholecystectomy, is a possibility that warrants surgical awareness.