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HPB Surgery
Volume 2008, Article ID 174202, 3 pages
http://dx.doi.org/10.1155/2008/174202
Case Report

Gallstone-Induced Perforation of the Common Bile Duct in Pregnancy

1Department of Surgery, Southampton General Hospital, Tremona Road, Southampton, Hampshire SO16 6YD, UK
2Department of Radiology, Southampton General Hospital, Tremona Road, Southampton, Hampshire SO16 6YD, UK

Received 9 January 2008; Revised 26 April 2008; Accepted 17 June 2008

Academic Editor: Guy Maddern

Copyright © 2008 N. Dabbas et al. 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.

Abstract

Spontaneous perforation of the extrahepatic biliary system is a rare presentation of ductal stones. We report the case of a twenty-year-old woman presenting at term with biliary peritonitis caused by common bile duct (CBD) perforation due to an impacted stone in the distal common bile duct. The patient had suffered a single herald episode of acute gallstone pancreatitis during the third trimester. The patient underwent an emergency laparotomy, bile duct exploration, and removal of the ductal stone. The postoperative course was uneventful.