ArticleCureus2026
Early Spontaneous Common Bile Duct Perforation.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Non-iatrogenic, non-traumatic common bile duct (CBD) perforation is a rare finding in the adult population and is more commonly reported in the pediatric population. Etiologies of CBD perforation in adults include traumatic injury, increased intraductal pressure due to choledocholithiasis, and biliary duct necrosis from underlying inflammation such as chronic pancreatitis. We present the case of a 59-year-old woman who initially presented with acute perforated cholecystitis with pancreatitis with intra-operative findings of a CBD perforation, which is not well-described in the literature. Management included endoscopic retrograde cholangiopancreatography with CBD stent placement and delayed cholecystectomy. This case is notable for the short period of symptoms prior to perforation and highlights the need for a higher degree of suspicion for alternative diagnoses when confronted with perforated cholecystitis.
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