Spontaneous perforation of the common bile duct in an adult

Abstract

Common bile duct (CBD) perforation is a rare entity usually reported in infants due to congenital anomalies.Occasionally it has been reported in adults following invasive procedures in and around the CBD.But spontaneous perforation of CBD occurring in an adult presenting as acute abdomen is an unusual phenomenon.We report one such case where the diagnosis was made preoperatively by ultrasound examination and the patient was salvaged by early operative intervention.