{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:33:32Z","timestamp":1787016812276,"version":"build-2736575974"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,6,29]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>Spontaneous or idiopathic bile duct perforation is rare, mostly seen in children from 25 weeks of gestation to 7 years of age, with the confluence of cystic duct and common hepatic duct (CHD) being the most common site. The exact aetiopathogenesis remains elusive and poorly understood, leading to a lack of consensus on its optimal management. The condition is often diagnosed intraoperatively. We present a case of spontaneous perforation of the CHD in a boy in his middle childhood, alongside a review of relevant literature. The patient presented with acute abdomen and pyobiliary peritonitis, for which a hollow viscus perforation was suspected. An emergent laparotomy revealed a 0.5\u2009cm CHD perforation. Surgical intervention involved T-tube insertion and drainage, leading to a successful recovery. This case underscores the challenge of preoperative diagnosis, necessitating prompt exploration after initial resuscitation. There is a need for clinical vigilance and tailored surgical approaches.<\/jats:p>","DOI":"10.1136\/bcr-2024-261041","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T22:00:22Z","timestamp":1721167222000},"page":"e261041","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous perforation of the common hepatic duct in a child: an unexpected intraoperative encounter"],"prefix":"10.1136","volume":"17","author":[{"given":"Prasoon","family":"Pattanaik","sequence":"first","affiliation":[{"name":"Surgery, Sriram Chandra Bhanja Medical College and Hospital, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6759-119X","authenticated-orcid":false,"given":"Sushila Kumar","family":"Pattanaik","sequence":"additional","affiliation":[{"name":"PG Department of Surgery, Post Graduate Institute of Medical Education and 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