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A Large Retroperitoneal Encapsulation of Bile from a Spontaneous Perforation of the Common Bile Duct
Authors:Katsusuke Satake  MD  FACS    Teruyuki Ikehara  MD    Keiho Shim MD    Tsuyoshi Asai  MD    Kaoru Umeyama  MD    Michio Yoshioka  Hiroshi Takemura  MD
Institution: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.
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