In situations like peritonitis due to bile duct injuries drains insertion give an opportunity for healing. However in presented case the leakage from spontaneously stopped. Only constipation leads icterus. A spontaneous choledoco enteric fistula explains these conditions, discovered later. It could be result of inflammation causing adhesion.

In 1903 Schmorl4 defined Kernikterus as jaundice of the nuclear masses of the brain. It includes usually the caudate, lenticulate, subthalamic and dentate nuclei, the thalami, mammillary bodies, Ammon's horns, the nuclei of the cranial nerves, the olives, parts of the cerebellar cortex and the anterior and posterior horns of the spinal cord. Kernikterus is almost always associated with icterus ...