Spontaneous biliary tract perforations: an unusual cause of peritonitis in pregnancy. Report of two cases and review of literature
2006

Biliary Tract Perforations in Pregnancy: Two Case Reports

Sample size: 2 publication Evidence: low

Author Information

Author(s): Nikhil Talwar, Manoj Andley, Bina Ravi, Ajay Kumar

Primary Institution: Lady Hardinge Medical College, University of Delhi

Conclusion

Biliary tract perforations are rare but can lead to serious complications during pregnancy if not diagnosed and treated promptly.

Supporting Evidence

  • Biliary tract disease during pregnancy is rare, occurring in 0.05% to 0.3% of pregnancies.
  • Gall bladder perforation can occur in 3 to 10% of acute cholecystitis cases in adults, but is rare in pregnancy.
  • Only about 40 cases of spontaneous rupture of the common bile duct have been reported, making it extremely rare in pregnancy.

Takeaway

Sometimes, pregnant women can have holes in their bile ducts, which can make them very sick. It's important to find and fix these problems quickly.

Methodology

The study reports two cases of spontaneous biliary tract perforations in pregnant women, detailing their clinical presentations, diagnostic procedures, and surgical interventions.

Limitations

The study is based on only two cases, limiting the generalizability of the findings.

Participant Demographics

Two pregnant women, aged 21 and 28, at 30 and 32 weeks of gestation respectively.

Digital Object Identifier (DOI)

10.1186/1749-7922-1-21

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