Chronic Pancreatitis Presented with Spontaneous Bile Duct Rupture in a Child—a Case Report

Abstract

Acute abdomen due to biliary peritonitis is mainly seen post laparoscopic cholecystectomy. Most common cause of primary biliary peritonitis is gall bladder perforation. Spontaneous bile duct perforation is a rare disorder, mostly seen in pediatric age group. Congenital anomalies, choledocholithiasis, and acute/chronic pancreatitis are some of the causes of spontaneous bile duct perforation. Early diagnosis and appropriate management is necessary to prevent morbidity and mortality. We report a case of a 9-year-old girl, with no past medical history, who presented with acute abdomen at a nearby hospital. She was referred to us after exploratory laparotomy, lavage, and drainage done outside. At our center, patient was evaluated clinically; operative findings from previous surgery were noted. After resuscitation, computed tomography of abdomen was done. Exploratory laparotomy was performed. Operative findings, management, and postoperative course are discussed.