[Errors in the diagnosis and treatment of spontaneous perforation of the subcapsular bile ducts in patients with opisthorchiasis].

Ten cases of spontaneous perforation of subcapsular bile ducts in patients with opisthordiasis are analysed. In 8 of them perforation of the bile duct developed against the background of purulent cholangitis. In addition to opisthordiasis during the operative procedure cancer of the liver was found in 3 patients and cancer of the pancreas - in 1. All these patients were operated upon: suturing of the perforated bile duct wall and cholecystostomy were performed in 6 patients, cholecystomy - in 3, incision of a subhepatic abscess - in 1. Postoperatively 6 patients died, 4 of them having neoplasms.