Laparoscopic Management of a Rare Case of Spontaneous Biliary Perforation in an Infant

Tarun Gupta1, Ankur Mandelia1, Rajanikant R Yadav2

  • 1Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Insights

Spontaneous biliary perforation, a rare infant condition, involves bile leakage into the abdomen. This case highlights successful minimally invasive treatment using ultrasound-guided drainage and laparoscopic cholecystostomy.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Spontaneous biliary perforation is a rare condition in infants.
  • It presents as bile leakage into the peritoneal cavity without a clear cause.

Observation:

  • A 3-month-old female infant presented with jaundice and abdominal distension.
  • Clinical presentation suggested spontaneous biliary perforation.

Findings:

  • Successful management was achieved through a combination of ultrasound-guided percutaneous drainage and laparoscopic cholecystostomy.
  • Minimally invasive techniques proved effective in this case.

Implications:

  • This case underscores the efficacy of minimally invasive approaches for spontaneous biliary perforation in infants.
  • Early diagnosis and intervention are crucial for favorable outcomes.