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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
PubMed

Insights

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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