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KMID : 0367219920090010121
Sejong Medical Journal
1992 Volume.9 No. 1 p.121 ~ p.126
A Case of Spontaneous Perforation of the Right Intrahepatic Duct-An ERCP Diagnosis
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Abstract
Spontaneous perforation of bile duct in adults is very rare, with less than 30 cases described in the literature to date.
We report 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 pre-operative noninvasive confirmation of the rupture of right intrahepatic duct.
The patient was performed T-tube choledochotomy and drainage of retroperitoneal bile collection.
The etiology, diagnosis, and treatment of spontaneous perforation of bile duct is discussed.
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