Scientific paper| Volume 89, ISSUE 3, P579-582, March 1955

Bile peritonitis

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      The subject of bile peritonitis has been reviewed and three cases summarized. Attention is called to the seriousness of this clinical entity. It is our impression that the severe shock associated with perforated duodenal and jejunal ulcers usually can be attributed to the presence of bile in the peritoneal cavity. Early diagnosis and surgery are imperative. We wish to stress thorough peritoneal irrigation at the time of surgery, with repair and drainage of the site of bile leakage. We would suggest the use of dextran in the treatment of shock associated with bile peritonitis.
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        • McLaughlin Jr., C.W.
        Bile peritonitis.
        Ann. Surg. 1942; 115: 240-248
        • Newell C.E.
        Traumatic rupture of gallbladder and liver: report of base with generalized bile peritonitis.
        Am. J. Surg. 1948; 76: 466-471
        • Norgore M.
        Traumatic rupture of the gallbladder: case reports and notes on choleperitoneum.
        Ann. Surg. 1946; 123: 127-134
        • Hickey N.F.
        • Stevenson V.L.
        Traumatic rupture of the choledochus associated with an acute hemorrhagic pancreatitis and a bile peritonitis.
        Ann. Surg. 1948; 128: 1178-1183
        • Gariepy L.J.
        • Capano O.A.
        • Gardner L.W.
        Nontraumatic rupture of the common bile duct.
        Am. J. Surg. 1951; 81: 357-362
        • Fournier D.J.
        Bile peritonitis due to spontaneous rupture of a dilated intrahepatic duct.
        California Med. 1950; 72: 245-246
        • Dreiling D.A.
        Spontaneous rupture of the common bile duct following choledocholithotomy.
        S. Clin. North America. 1947; 27: 381-387
        • Hart D.E.
        Spontaneous perforation of the common bile duct.
        Ann. Surg. 1951; 133: 280-282
        • Rubenstone A.I.
        • Mintz S.S.
        • Meranze D.R.
        A case of fatal bile peritonitis following liver needle biopsy.
        Ann. Int. Med. 1952; 36: 166-168
        • Gallison Jr., D.T.
        • Skinner D.
        Bile peritonitis complicating needle biopsy of liver.
        New England J. Med. 1950; 243: 47-50
        • Burkitt D.P.
        Biliary peritonitis without demonstrable perforation.
        Brit. M. J. 1946; 2: 155-157
        • Schlaepfer K.
        The etiology of bile peritonitis.
        J. Internat. Coll. Surgeons. 1939; 2: 427-433
        • Caulfield E.
        Bile peritonitis in infancy.
        Am. J. Dis. Child. 1936; 52: 1348-1360
        • Byrne J.J.
        • Bottomley G.T.
        Bile peritonitis in infancy.
        Am. J. Dis. Child. 1953; 85: 694-697
        • Mentzer S.H.
        Bile peritonitis.
        Arch. Surg. 1934; 29: 227-241
        • Miles R.M.
        • Jeck H.S.
        Observations on experimental bile peritonitis.
        Surgery. 1953; 34: 445-456
        • Manson M.H.
        • Eginton C.T.
        The cause of death in bile peritonitis.
        Surgery. 1938; 4: 392-404
        • Horall O.H.
        Bile: Its Toxicity and Relation to Disease.
        in: Univ. Chicago Press, Chicago1938: 210-224
        • Harkins H.N.
        • Harmon P.H.
        • Hudson J.E.
        Lethal factors in bile peritonitis.
        Arch. Surg. 1936; 33: 576-609
        • Storck A.N.
        Diagnosis in abdominal trauma.
        Am. J. Surg. 1942; 61: 21-42
        • Ravdin I.S.
        • Morrison M.E.
        • Smyth Jr., C.M.
        Bile peritonitis and bile ascites.
        Ann. Surg. 1929; 89: 867-877