ABSTRACT
Spontaneous choledochocyst perforation in adults is a rare disease with more acute onset and rapid progression of the disease.Most cases of spontaneous choledochocyst perforation are misdiagnosed due to the lack of typical symptoms,meanwhile,treatment remains controversial,and accordingly it is hard for doctors to make a decision on treatment.Nevertheless,the individualized treatment can be performed on patients according to the clinical symptoms and conditions of patients combined with the medical history,laboratory and imaging examinations or other special procedures.In this article,the diagnosis and treatment of spontaneous choledohocyst perforation were summarized on the basis of global literatures and analyses of the pathogeny and clinical presentation of this disease.