First Department of Surgery, Osaka City University Medical School. Asahi-Machi, Abeno-ku, Osaka 545, Japan. Department of Medicine and Surgery Juso Municipal Hospital, Osaka, Japan
Abstract:
We report a patient with spontaneous rupture of the common bile duct. This is an extremely rare condition which produces free leakage of bile into the peritoneal cavity. There has been no previous report concerning the formation of a large retroperitoneal encapsulation of bile. The preoperative diagnosis in our patient was very difficult and endoscopic retrograde pancreatocholangiography and cystography by ultrasound guidance were helpful.