Published 2021 | Version v1
Journal article

Massive common bile duct gangrene of obscure etiology encompassing the entire hepato-duodenal ligament in a clinically silent adult: world's first case

  • 1. Department of Surgery, Division of GI and Minimal Access Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra (India)
  • 2. Department of Plastic and Reconstructive Surgery, Grant's Government Medical College and Sir J.J. Group of Hospitals, J.J. Marg, Nagpada, Mumbai Central, Off Jijabhoy Road, Maharashtra (India)
  • 3. Department of Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra (India)
  • 4. Department of Radiology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra (India)

Description

Common bile duct (CBD) gangrene is an extremely rare cause of spontaneous biliary perforation leading to life-threatening biliary peritonitis. Only one such case has been reported, way back in the year 1951. Herein, we present an unusual case of massive CBD gangrene that also involved hepato-duodenal ligament. Moreover, we propose an algorithm for its preoperative diagnosis. To our knowledge, such a case is yet to be reported. (author)

Additional details

Publishing Information

Journal Title
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (Online)
Journal Volume
34
Journal Issue
1
Journal Page Range
2 p.
ISSN
2317-6326