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Idiopathic common bile duct perforation: a case report
M M Tiou1, S C Huang, S C Huang
1Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi
|September 1, 1995
Summary
Idiopathic bile duct perforation is rare in infants. This case highlights diagnosis and successful surgical treatment in a young child presenting with jaundice and ascites.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Medicine
Background:
- Spontaneous or idiopathic perforation of the bile duct (IPBD) is an uncommon condition in neonates and infants.
- Early diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A 1-year-5-month-old female presented with abdominal distension and jaundice.
- The patient had a history of bacterial peritonitis treated with antibiotics.
- Bilious ascites were detected via abdominal tapping, indicating biliary tree perforation.
Findings:
- Scintigraphy confirmed the biliary tree perforation.
- The child underwent successful surgical intervention.
- The patient recovered uneventfully after surgery.
Implications:
- This case underscores the importance of considering IPBD in infants with unexplained jaundice and ascites.
- Prompt diagnosis using imaging studies like scintigraphy is vital.
- Surgical management offers a favorable prognosis for IPBD in pediatric patients.