{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:12:49Z","timestamp":1772662369620,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Spontaneous perforation of the extrahepatic biliary system is a rare presentation of gall stones. Very few cases of bile duct perforation have been reported in adults. It is rarely suspected or correctly diagnosed preoperatively.<jats:italic>Case Presentation<\/jats:italic>. A 66-year-old female presented at the surgical emergency with 3 days\u2019 history of severe upper abdominal pain with distension and repeated episodes of vomiting, as she had evidence of generalized peritonitis and underwent an exploratory laparotomy. A single 0.5\u2009cm<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:mo>\u00d7<\/mml:mo><\/mml:mrow><\/mml:math>0.5\u2009cm free perforation was present on the anterolateral surface of the common bile duct at the junction of cystic duct. A cholecystectomy and the CBD exploration were performed.<jats:italic>Conclusion<\/jats:italic>. Spontaneous perforation of the extrahepatic bile duct is a rare but important presentation of gall stones in adults. Therefore, awareness of the clinical presentation, expert ultrasound examination, and surgery are important aspects in the management.<\/jats:p>","DOI":"10.1155\/2016\/5321304","type":"journal-article","created":{"date-parts":[[2016,6,28]],"date-time":"2016-06-28T17:32:19Z","timestamp":1467135139000},"page":"1-3","source":"Crossref","is-referenced-by-count":9,"title":["Spontaneous Perforation of Common Bile Duct: A Rare Presentation of Gall Stones Disease"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-0220","authenticated-orcid":true,"given":"Duminda","family":"Subasinghe","sequence":"first","affiliation":[{"name":"Department of General Surgery, General Hospital, 60000 Kurunegala, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edippuli Arachchige Don","family":"Udayakumara","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital, 60000 Kurunegala, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upul","family":"Somathilaka","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital, 60000 Kurunegala, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milinda","family":"Huruggamuwa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital, 60000 Kurunegala, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(02)21289-1"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v11.i42.6728"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1071011"},{"issue":"1","key":"4","doi-asserted-by":"crossref","first-page":"58","DOI":"10.5144\/0256-4947.2005.58","volume":"25","year":"2005","journal-title":"Annals of Saudi Medicine"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.139.10.1083"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1071113"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(51)90242-5"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s003830000433"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(71)90214-5"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-1-21"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(83)80356-X"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(96)90132-3"},{"issue":"21","key":"13","first-page":"672","volume":"45","year":"1998","journal-title":"Hepato-Gastroenterology"},{"issue":"2","key":"14","year":"2006","journal-title":"Cochrane Database of Systematic Reviews"}],"container-title":["Case Reports in Gastrointestinal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2016\/5321304.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2016\/5321304.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2016\/5321304.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T05:26:56Z","timestamp":1568093216000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crigm\/2016\/5321304\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":14,"alternative-id":["5321304","5321304"],"URL":"https:\/\/doi.org\/10.1155\/2016\/5321304","relation":{},"ISSN":["2090-6528","2090-6536"],"issn-type":[{"value":"2090-6528","type":"print"},{"value":"2090-6536","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}