Spontaneous perforation of common bile duct in a young female: An intra-operative surprise

Abstract Spontaneous CBD perforation is one of the rare causes of acute abdomen. Ideally managed with T-tube drainage of the CBD along with cholecystectomy. Bilious peritoneal tap, features of generalized peritonitis and absence of free gas under diaphragm in abdominal x-ray may be considered as clues for suspicion of CBD perforation. Article type: Case Report Keywords: Spontaneous bile duct perforation, Common bile duct, Biliary peritonitis, T-tube Authors: Sudhir Kumar Mohanty, Tanmaya Mahapatra, Bharat Kumar Behera, Bidyapati Acharya, Supreet Kumar, Jyoti