[Non-traumatic intrahepatic bile-duct perforation in an adult].

Authors report a case of a patient suffered from intrahepatic bile duct perforation caused by stenosis of the papilla of Vater. With the help of data of medical literature there are analysed the etiological factors of bile duct perforations and the pathological process that leads to perforation. There is emphasized that the only way to avoid the sepsis and other postoperative complications on operation carried out in an early time and the supplemented intensive care. Authors call attention for the importance of carefully carried out intraoperative revision of bile system in cases of biliary peritonitis.