Abstract:
Spontaneous bile duct perforation is an unusual cause
of acute abdomen. It is an extremely rare condition and
rarely suspected or correctly diagnosed pre-operatively.
A case of a 29year old adult female, presenting with
peritonitis, 2days post partum is presented. Exploratory
laparotomy showed biliary peritonitis secondary to a
perforated common bile duct. She had a cholecystectomy
and closure of the perforation over a T-tube. She
recovered well and was discharged home. Awareness
of spontaneous common bile duct perforation as a rare
cause of biliary peritonitis, avoids undue delay in the
diagnosis and thus improve prognosis. Cholecystectomy
and drainage of bile duct using a T-tube is emphasized.