Management of Spontaneous Perforation of the Bile Duct in an Infant in a Semi-Urban Setup: A Case Report
- Author:
Satish Jain
;
Monica Jain
;
Dalbir Kaur
;
Lovesh Shukla
- Publication Type:Case Reports
- Keywords:
bile duct diseases, extrahepatic bile duct, gut, perforation, peritonitis, spontaneous rupture
- From:Malaysian Journal of Medical Sciences
2012;19(1):73-75
- CountryMalaysia
- Language:English
-
Abstract:
Spontaneous perforation of the extrahepatic bile duct leading to biliary peritonitis is a rare occurrence once other causes of biliary peritonitis, such as trauma, choledochal cyst, stone diseases, and distal atresia of the bile duct, are ruled out. A 7-month-old male infant was brought to the hospital in critical condition with distension of the abdomen. He had a history of vomiting and diarrhoea, low-grade fever, and refusal to feed for 2 days. Signs of peritonitis were found upon examination. Due to the poor general condition of the patient, the case was taken up for laparotomy, and a diagnosis of spontaneous extrahepatic bile duct perforation was made intra-operatively. In the present case, the cause was idiopathic. An external drain was placed near the site of the leak for 2 weeks. The patient recovered well and was discharged on post-operative day 16. Disease awareness for correct pre-operative diagnosis and interventional planning is required to reduce mortality, morbidity, and complications in spontaneous perforation of the common bile duct.
- Full text:W020151026567144403299.pdf
