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Afr J Paediatr Surg. 2018 Jan-Mar;15(1):53-55. doi: 10.4103/ajps.AJPS_74_17.

Spontaneous common hepatic duct perforation in a child: A rare case report.

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Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.


Spontaneous perforation of common bile duct is a rare phenomenon; few cases are reported in literature. Hence, there is a dilemma for the management of these cases, but with modern radiological equipment and high degree of suspicion, it is possible to diagnose early. The overall prognosis of this condition is good, provided an early surgical intervention is instituted; we are reporting a case of a 6-year-old male with spontaneous perforation of common hepatic duct. Managed by repair of rent over T-tube, postoperative period was uneventful, T-tube was removed after 3 weeks, and the patient is doing well in follow-up.


Biliary tract; common hepatic duct; spontaneous perforation

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