Bile duct perforation in children: is it truly spontaneous?
Annals of the Academy of Medicine, Singapore
;
: 905-908, 2006.
Article
in English
| WPRIM
| ID: wpr-275244
ABSTRACT
<p><b>INTRODUCTION</b>Bile duct perforation (BDP) with resultant biliary ascites in children is a rare clinical condition. The aetiopathogenesis is still an enigma, with increasing evidence suggesting anomalous union of pancreaticobiliary ductal (AUPBD) system as the prime causative factor.</p><p><b>CLINICAL PICTURE</b>We report 2 cases of spontaneous perforation of the bile duct confirmed on histopathological examination as choledochal cyst, in a 6-month-old female child and a 4-year-old boy who presented with subtle clinical symptoms.</p><p><b>TREATMENT AND OUTCOME</b>Both patients were successfully managed by excision of the gall bladder and common bile duct and Roux-en- Y hepaticojejunostomy. This procedure was performed following initial cholecystostomy drainage in the second case.</p><p><b>CONCLUSIONS</b>From the available literature and experience with our patients, BDP is not merely spontaneous but may be related to AUPBD and choledochal cyst.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ascites
/
General Surgery
/
Wounds and Injuries
/
Bile Ducts
/
Diagnostic Imaging
/
Jejunostomy
/
Cholangiography
/
Cholecystectomy
/
Tomography, X-Ray Computed
/
Choledochal Cyst
Type of study:
Diagnostic study
Limits:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2006
Type:
Article
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