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Updated: Jul 15, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Spontaneous infantile choledochal cyst perforation.
Babu M Nyamannawar1, Kanishka Das
1Department of Pediatric Surgery, St.John's Medical College Hospital, Bangalore, India.
Indian Journal of Pediatrics
|April 3, 2007
Summary
Spontaneous perforation is a rare complication of infantile choledochal cysts. This case highlights differentiating it from spontaneous extrahepatic bile duct perforation in a neonate.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Medicine
Background:
- Infantile choledochal cysts (CCs) are congenital biliary anomalies.
- Spontaneous perforation is a rare but serious complication of CCs.
Observation:
- A 23-week premature female infant presented with acute biliary peritonitis.
- The clinical presentation mimicked spontaneous perforation of the extrahepatic bile duct.
Findings:
- The case underscores the importance of considering spontaneous perforation of infantile choledochal cysts in neonates with biliary peritonitis.
- Diagnostic challenges in differentiating CC perforation from other causes of neonatal abdominal emergencies.
Implications:
- Early recognition and surgical intervention are crucial for improving outcomes in neonates with perforated choledochal cysts.
- This case contributes to the understanding of rare neonatal surgical emergencies and their management.
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