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. An unusual case of this complication with the formation of a !arge retroperitoneal abscess presenting with clinical 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.