Spontaneous common bile duct perforation-A rare clinical entity
Related Experiment Video
Updated: Feb 11, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Melissa Amberger1, Noelle Burton2, Gayanthia Tissera3
1Department of Surgery, SBH Health System, Bronx, NY, USA; New York Institute of Technology College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY, USA; Sophie Davis School of Biomedical Education, New York, NY, USA.
Introduction:
Spontaneous common bile duct perforation is an uncommon clinical entity in both adults and children. Few case reports have been published since the first clinical description in 1882. Our work has been reported in line with SCARE criteria.
Presentation Of Case:
Herein, we describe the case of a 28 year-old female who suffered spontaneous common bile duct perforation while admitted for choledocholithiasis.
Discussion:
The perforation occurred while in-hospital, and extensive imaging and laboratory tests characterized the disease in detail. To our knowledge, this is the first report of spontaneous common bile duct perforation witnessed from pre-perforation through definitive management.
Conclusion:
Physicians and Surgeons should seek out this uncommon diagnosis in the patient with suspected Choledocholithiasis who suddenly become peritoneal on physical exam so that definitive care can be expedited.
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