Spontaneous perforation of the common bile duct (SPCBD) is a rare but potentially fatal condition in adults, with early diagnosis often challenging due to nonspecific symptoms. This report presents a rare case of SPCBD in a 73-year-old male who presented with nonspecific abdominal pain and fever. Imaging confirmed SPCBD associated with common bile duct stones. Following initial failure with percutaneous drainage, additional surgical intervention successfully managed the SPCBD and associated severe pancreatic abscess. We report this case to highlight the early identification and management of SPCBD in a patient with nonspecific abdominal symptoms.

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REFERENCES

• 김소정(이화여자대학교 의과대학 내과학교실) | So Jeong Kim (Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul)
• 윤원재(이화여자대학교 의과대학 내과학교실) | Won Jae Yoon (Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul) Corresponding author
• 조영수(이화여자대학교 의과대학 외과학교실) | Yeongsoo Jo (Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea)
• 민석기(이화여자대학교 의과대학 외과학교실) | Seog Ki Min (Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea)