Table of Contents
HPB Surgery
Volume 2, Issue 3, Pages 205-209
Case Report

Spontaneous Bile Duct Rupture in Pregnancy

1Department of Surgery, University of Colorado Health Sciences Center, Denver Veteran's Administration Hospital, Denver, Colorado, USA
2Department of Surgery, 4200 E.9th Ave. Box C313, Denver, Colorado 80262, USA

Received 3 June 1989

Copyright © 1990 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spontaneous bile duct rupture occurred in a 23-year-old who required emergency Cesarean section for fetal distress. This condition has not been reported in association with pregnancy. Only forty cases of spontaneous bile duct perforation in adults have been previously reported. Seventy percent of these perforations were related to biliary calculi. Sites of perforation were evenly distributed between common hepatic duct and common bile duct. Recommended treatment includes cholecystectomy, common bile duct exploration, T-tube placement, and Roux-En-Y ductal anastomosis if disruption is extensive.