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ABSTRACT

Papanicolaou V, Koutarelos D, Garyfallou Chr, Moraitidis D, Maintas D, Vardoulis]. Retro­

peritoneal spontaneous rupture of common

bile duct. Hippokratia 2001, 5 (1): 30-34

Spontaneous rupture of the common bile duct is an extremely rare condition. An unusual case

of this complication with the formation of a large

retroperitoneal abscess presenting with clinical findings of strangulated femoral hernia is

described. Hepatic iminodiacetic acid scan (Tc

99m-HIDA was the most reliable test to show the

extravasation of the bile and to confirm the perforation site. The possible etiology and the goals of operative treatment are discussed,

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1. Spira AI. Sponraneous rupture of the common bile duct,

Ann Surg 1976. 183: 433-435

34 B rlAflANIKOi\AOY

2. Paladugu R, Rau A, Schein M, Wise L Spontaneous

perforation of the hepatic duct in adults. Dig Surg 1998, 15: 417-420

3. Suarez L, Detmer DE, Jarrett F. Surgical management of spontaneous hepatic duct perforations. Ann Surg 1981, 194: 176-179

4. chu CS. Spontaneous perforation of the common hepatic duct: Report of seven cases. Surg Gastroenterol 1984, 3: 69­

76

5. Hasegawa T, Udatsu Y, Kamiyama M, et al. Does

pancreatico-biliary maljunction playa role in spontaneous perforation of the bile duct in children? Pediatr Surg lnt

2000, 16: 550-553

6 Satake K, Ikehara T, Shim K, et al. A large retroperitoneal encapsulation of bile from a spontaneous perforation of the

common bile duct. Am J Gastroenterol 1985, 80: 279-283

AMn).oypmpia B. [1aI1aVlKo,\aOU

AaOKapatou 27 546 46 GwoaAOV1.Kn

Corresponding author Papanikolaou V, 27 Laskaratou str 546 46 Thessaloniki Greece