14 May, 2021

MASSIVE COMMON BILE DUCT GANGRENE OF OBSCURE ETIOLOGY ENCOMPASSING THE ENTIRE HEPATO-DUODENAL LIGAMENT IN A CLINICALLY SILENT ADULT: WORLD’S FIRST CASE

Priyadarshan Anand JATEGAONKAR
Sudeep Pradeep YADAV
Jinit Salil SHAH
Piyush Raghunath DHAIGUDE
Aditi Rajeev SOOD
DOI: 10.1590/0102-672020190004e1565
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INTRODUCTION

Common bile duct (CBD) gangrene is an extremely rare cause of spontaneous biliary perforation leading to life-threatening biliary peritonitis3. Only one such case has been reported, way back in the year 19513. 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.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD.

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