Related Experiment Video

Updated: Jan 28, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

671

Spontaneous common hepatic duct perforation in a child: A rare case report

Kanoujia Sunil1, Archika Gupta1, Ajay Kumar Verma1

  • 1Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

African Journal of Paediatric Surgery : AJPS
|March 5, 2019
PubMed

Insights

Spontaneous common bile duct perforation is rare, posing management challenges. Early diagnosis and surgical repair offer a good prognosis, as seen in a pediatric case report.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Pediatric Surgery
  • Diagnostic Imaging

Background:

  • Spontaneous perforation of the common bile duct (CBD) is an exceptionally rare surgical emergency.
  • Limited case reports create diagnostic and management dilemmas for clinicians.
  • Early diagnosis is crucial for favorable outcomes.

Observation:

  • A 6-year-old male presented with spontaneous perforation of the common hepatic duct.
  • Diagnosis was achieved through high clinical suspicion supported by modern radiological imaging.
  • The patient underwent surgical repair of the ductal rent using a T-tube.

Findings:

  • The surgical repair was successful, with an uneventful postoperative recovery.
  • The T-tube was removed 3 weeks post-surgery.
  • The patient demonstrated a positive outcome during follow-up.

Implications:

  • This case highlights the importance of prompt surgical intervention in spontaneous CBD perforation.
  • It underscores the utility of advanced imaging in diagnosing rare hepatobiliary emergencies.
  • Early surgical management is associated with good prognosis in pediatric patients.

Keywords:
Biliary tractcommon hepatic ductspontaneous perforation

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