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AMA Arch Surg. 1954;68(2):267-268. doi:10.1001/archsurg.1954.01260050269015.
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SPONTANEOUS rupture of the common bile duct is an extremely rare condition, as evidenced by the paucity of reported cases. In 1912 McWilliams1 reviewed 90 cases of spontaneous rupture of the biliary tree, of which 4 were in the common duct. These were cases in which calculi were present in the common duct and in which there was no previous history of operative procedures on the biliary system. In 1951 Gariepy2 reviewed the literature and found 24 cases of perforation of the common duct; 14 of these were secondary to choledochostomy and 10 were spontaneous. This author added two cases, and in 1951 Hart3 reported a case, making a total of 13 reported cases of spontaneous rupture of the common duct. The case represented in this paper is, then, the 14th reported in the literature in which perforation of the common duct occurred in the absence of


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