Spontaneous perforation of the common bile duct: A rare case

Abstract

Spontaneous common bile duct perforation is a rare cause of acute abdomen. Preoperative diagnosis is rare. The etiology is unclear, but the proposed theories include congenital, trauma, necrotizing enterocolitis, intramural thrombosis, iatrogenic, or bile duct stones. In this article, we report a case of common bile duct perforation in a 13-month-old female patient without any medical or traumatic history. Although it is a very rare disease, emergency physicians should consider common bile duct in patients with complaints of abdominal pain, distention, nausea, vomiting, and fever. An overlooked diagnosis or misdiagnosis can be potentially fatal.