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Spontaneous rupture of the bile duct associated with pancreatitis. A rare presentation

Mahesh K Goenka1, Bhaswati C Acharyya, Pradeepta K Sethy

  • 1Institute of Gastroenterology, Apollo Gleneagles Hospital. Kolkata, India. mkgkolkata@gmail.com

JOP : Journal of the Pancreas
|March 10, 2011
PubMed

Insights

Spontaneous bile duct rupture is a rare cause of jaundice in infants. Early diagnosis and drainage are crucial for managing this condition and reducing complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Spontaneous bile duct rupture is a rare but recognized cause of jaundice in infants, often following biliary atresia.
  • This condition can present with symptoms mimicking other abdominal emergencies.

Observation:

  • A case of a four-year-old girl presenting with severe abdominal pain, suggestive of acute pancreatitis, is described.
  • She developed abdominal distension and was found to have a ruptured bile duct leading to biliary peritonitis.

Findings:

  • Initial management involved laparoscopic drainage, but persistent biliary drainage necessitated endoscopic retrograde cholangiopancreatography (ERCP) with stent placement.
  • The patient was ultimately diagnosed with a choledochal cyst.

Implications:

  • A high index of suspicion is vital for diagnosing spontaneous bile duct rupture.
  • Utilizing advanced imaging like magnetic resonance cholangiopancreatography (MRCP) and prompt surgical or endoscopic intervention can improve outcomes.
  • Early diagnosis and management are key to reducing morbidity and mortality in this rare pediatric surgical emergency.
Abstract

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