Case report of non-traumatic spontaneous intrahepatic bile duct rupture in an adult

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dc.authoridKaragul, Servet/0000-0003-1964-2516
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKaragul, Servet/K-3020-2015
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorKaragul, Servet
dc.contributor.authorErtugrul, Ismail
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorOnur, Asim
dc.date.accessioned2024-08-04T20:41:36Z
dc.date.available2024-08-04T20:41:36Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractINTRODUCTION: Spontaneous rupture of the biliary duct, a rare condition in adults, is difficult to diagnose preoperatively and presents with acute abdominal symptoms. The treatment of this rare condition should be based on the individual's clinical status. We present peripheric biliary duct rupture (segment three) treated with external segment III drainage and postoperative endoscopic removal of the stones. PRESENTATION OF CASE: An 82-year-old male patient presented with abdominal pain and fever. An ultrasound (US) revealed a solid gall stone lesion, 3 cm in diameter, in liver segments three and four with additional intra-abdominal fluid accumulation without coexisting free air. A diagnostic laparotomy was then performed because the patient had signs of peritonitis. Exploration revealed a biliary leakage from the posterior surface of segment three. An external biliary drainage catheter was inserted to the perforated segment III duct via a 6 French (6F) feeding catheter. He was discharged after 10 days and his intracholedocal stent was removed postoperative after three months. The patient continues to be monitored. DISCUSSION: Spontaneous rupture of the intrahepatic biliary duct is a rare condition. Although occurrence is frequently reported as spontaneous, the majority of cases are related to choledocholithiasis. The role of surgical treatment in cases of spontaneous bile duct rupture is unclear. When biliary peritonitis is present, drainage of contaminated biliary fluid, T-tube drainage, closure of the biliary duct, as well as primary disease conditions, should be reviewed prior to treatment. CONCLUSION: Surgical treatment of spontaneous biliary duct rupture should be indicated only after careful consideration of the patient's clinical and comorbidity status. (C) 2016 The Authors. Published by Elsevier Ltd. on behalf of IJS Publishing Group Ltd.en_US
dc.identifier.doi10.1016/j.ijscr.2016.02.015
dc.identifier.endpage106en_US
dc.identifier.issn2210-2612
dc.identifier.pmid26963260en_US
dc.identifier.scopus2-s2.0-84960079588en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage104en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2016.02.015
dc.identifier.urihttps://hdl.handle.net/11616/97211
dc.identifier.volume21en_US
dc.identifier.wosWOS:000374179300027en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBiliary ducten_US
dc.subjectSpontaneous ruptureen_US
dc.subjectBiliomaen_US
dc.subjectCholedocholithiasisen_US
dc.titleCase report of non-traumatic spontaneous intrahepatic bile duct rupture in an adulten_US
dc.typeArticleen_US

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