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Abstract
Bile peritonitis after injury to the biliary tree is a serious complication that requires
exploratory laparotomy. Our patient had an obstructing ampullary carcinoma, and generalized
bile peritonitis developed from attempted percutaneous transhepatic cholangiography.
The patient's condition was managed by peritoneal lavage and endoscopic transampullary
stenting, with immediate relief of pain and toxicity. Exploratory laparotomy was avoided,
and an eventual pylorus-sparing Whipple resection was the definitive treatment. We
believe this to be the first report of successful nonoperative treatment of a patient
with bile peritonitis with obstructive jaundice.
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Article info
Publication history
Accepted:
June 28,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
