ABSTRACT
Spontaneous perforation of a choledochal cyst with ensuing pseudocyst formation is a very rare complication. We report the development of a pseudocyst adjacent to a choledochal cyst in a very low-birth-weight infant at 2 months of age. Elective excision of the choledochal cyst and biliary tract reconstruction were successfully performed 2 months later when the infant weighed 3 kg. Delayed primary repair may be a viable alternative treatment for low-birth-weight infants with choledochal cysts.
Subject(s)
Choledochal Cyst/diagnosis , Infant, Premature, Diseases/diagnosis , Choledochal Cyst/diagnostic imaging , Choledochal Cyst/pathology , Humans , Infant , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/diagnostic imaging , Infant, Premature, Diseases/pathology , Infant, Very Low Birth Weight , Magnetic Resonance Imaging , Male , Rupture, Spontaneous/diagnosis , Rupture, Spontaneous/diagnostic imaging , Rupture, Spontaneous/pathology , UltrasonographyABSTRACT
Bile duct injury caused by blunt abdominal trauma is rare and usually associated with liver parenchymal injury. The authors report the case of a 15-year-old boy with jaundice caused by a posttraumatic isolated common bile duct stricture without associated liver injury. Endoscopic retrograde biliary drainage (ERBD) was performed and the jaundice disappeared 2 months after drainage commenced. Although restenosis and mild jaundice was revealed 2 years after injury, ERBD can be a first-line minimally invasive treatment of pediatric posttraumatic biliary stricture.
