Bile duct perforation in children: is it truly spontaneous?
- Author:
T R Sai PRASAD
1
;
Chan Hon CHUI
;
Yee LOW
;
Chia Li CHONG
;
Anette Sundfor JACOBSEN
Author Information
- Publication Type:Case Reports
- MeSH: Ascites; etiology; surgery; Bile Ducts; injuries; Child, Preschool; Cholangiography; Cholecystectomy; Choledochal Cyst; complications; surgery; Common Bile Duct; diagnostic imaging; injuries; surgery; Female; Humans; Infant; Jejunostomy; Laparoscopy; Male; Tomography, X-Ray Computed
- From:Annals of the Academy of Medicine, Singapore 2006;35(12):905-908
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONBile 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.
CLINICAL PICTUREWe 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.
TREATMENT AND OUTCOMEBoth 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.
CONCLUSIONSFrom the available literature and experience with our patients, BDP is not merely spontaneous but may be related to AUPBD and choledochal cyst.
