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Related Concept Videos

Cholecystitis01:20

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...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Chronic Bowel Disorders: Introduction01:17

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...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

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Related Experiment Video

Updated: May 9, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

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: Is bed side diagnosis possible?

Vijai Datta Upadhyaya1, Basant Kumar, Mangal Singh

  • 1Department of Pediatric Surgery, SGPGIMS, India. upadhyayavj@rediffmail.com

African Journal of Paediatric Surgery : AJPS
|July 18, 2013
PubMed
Summary

Spontaneous bile duct perforation is a rare cause of acute abdomen, often presenting with distension. Early diagnosis requires high suspicion and specific tests like MRCP to rule out choledochal cysts.

Related Experiment Videos

Last Updated: May 9, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

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
  • Pediatric Surgery
  • Abdominal Surgery

Background:

  • Spontaneous biliary peritonitis is a rare condition causing acute abdomen, characterized by bile duct perforation without trauma.
  • Often seen in neonates, symptoms can be insidious, delaying diagnosis and management.
  • This manuscript focuses on the diagnosis and management of spontaneous biliary peritonitis.

Purpose of the Study:

  • To investigate the diagnostic methods and treatment strategies for spontaneous biliary peritonitis.
  • To evaluate the clinical presentation and outcomes of patients with spontaneous biliary peritonitis.

Main Methods:

  • A prospective study included patients with suspected biliary peritonitis from December 2010 to February 2012.
  • Abdominal paracentesis was performed, with exploratory laparotomy for elevated intra-abdominal fluid bilirubin.
  • T-tube cholangiogram and MRCP were used to exclude choledochal cysts.

Main Results:

  • Six patients were included; the most common symptom was progressive abdominal distension.
  • Perforation site was identified in 50% of cases; bile ducts were not dilated in 50%.
  • No mortality or significant morbidity was observed; 34% did not require a second surgery.

Conclusions:

  • Spontaneous bile duct perforation is rare, necessitating a high index of suspicion for diagnosis.
  • Simple bedside tests aid diagnosis, but T-tube cholangiogram or MRCP are crucial to rule out choledochal cysts.