Korean Journal of Gastrointestinal Endoscopy 1992;12(1): 87-90.
내시경적 역행성 담도 췌관조영술 ( ERCP ) 로 진단된 우측간내담관의 자발적 천공 1예 ( A Case of Spontaneous Perforation of the Right Intrahepatic Duct - An ERCP Diagnosis )
노임환, 배순기, 김정택 (Im Hwan Roe, Soon Ki Bae and Jung Taik Kim)
Abstract
Spontaneous perforation of bile duct in adults is very rare, with less than 30 cases described in the literature to date. We repoit a case of a 65-year-old man who presented with severe colicky abdominal pain and fever, just like symptoms of peritonitis. ERCP provided a preoperative noninvasive confirmation of the diagnosis of the rupture of right intrahepatic duct. The patient was performed T-tube choledochotomy and drainage of retroperitoneal bile collection. The etiolgy, diagnosis, and treatment of spontaneous perforation of bile duct is discussed.
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