Sefa Türkoğlu1, Cihan Bedel2

1Department of Radiology, Denizli State Hospital, Denizli, Turkey
2Department of Emergency Medicine, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey

Keywords: Abdominal pain; common bile duct; perforation


Spontaneous common bile duct perforation is a rare cause of acute abdomen. Preoperative diagnosis is rare. The etiology is unclear, but the proposed theories include congenital, trauma, necrotizing enterocolitis, intramural thrombosis, iatrogenic, or bile duct stones. In this article, we report a case of common bile duct perforation in a 13-month-old female patient without any medical or traumatic history. Although it is a very rare disease, emergency physicians should consider common bile duct in patients with complaints of abdominal pain, distention, nausea, vomiting, and fever. An overlooked diagnosis or misdiagnosis can be potentially fatal.