Hippokratia 2001, 5 (1): 30-34

V Papanicolaou, D Koutarelos, Chr Garyfallou, D Moraitidis, D Maintas, J Vardoulis


Spontaneous rupture of the common bile duct is an extremely rare condition. ?n unusual case of this complication with the formation of a !arge retroperitoneal abscess presenting with c!inical findings of strangulated femoral hernia is described. Hepatic iminodiacetic acid scan (Tc 99m-HIDA) was the most reliable test to show the extravasation of the bile and to confirm the perforation site. The possible etiology and the goals of operative treatment are discussed.

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