Spontaneous extra-hepatic bile duct perforation postpartum.

Area of Science:

• Gastroenterology
• Surgical Case Reports

Background:

• Spontaneous bile duct perforation is an exceptionally rare condition presenting as acute abdomen.
• Pre-operative diagnosis is challenging due to its rarity and unusual presentation.

Observation:

• A 29-year-old female presented with peritonitis two days postpartum.
• Exploratory laparotomy revealed biliary peritonitis due to a perforated common bile duct.

Findings:

• The patient underwent cholecystectomy and T-tube closure of the bile duct perforation.
• Successful recovery and discharge were achieved post-operatively.

Implications:

• Highlights the importance of considering spontaneous bile duct perforation in cases of acute abdomen, especially postpartum.
• Emphasizes prompt surgical management, including cholecystectomy and T-tube drainage, for improved prognosis in biliary peritonitis.