Presentation and Management of Spontaneous Extrahepatic Biliary Perforations in Adults in a Tertiary Care Centre

Background: Iatrogenic biliary injury is a known and quite common complication following hepatobiliopancreatic surgeries, but spontaneous non-traumatic perforation of biliary tree is not so common. Aim. To investigate and treat the patients presenting with spontaneous extrahepatic biliary perforations. Methods: A total of 15 patients presented with spontaneous extrahepatic biliary perforation. Results: 9 patients were treated surgically and 6 patients responded with conservative management. Conclusion: Spontaneous biliary perforations should be diagnosed and treated as early as possible to prevent diffuse biliary peritonitis and sepsis, thereby reducing morbidity and mortality.