Spontaneous biliary perforation in a 3-month old

Spontaneous biliary perforation is a rare cause of jaundice in young children. A 3-month old girl presented to a referral facility with a history of jaundice and abdominal distension. Investigations suggested a hepatic cyst but on exploration, she was found to have bilious ascites and a sub-hepatic...

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Bibliographic Details
Main Authors: Vallery Logedi (Author), Erik N. Hansen (Author)
Format: Book
Published: Elsevier, 2018-12-01T00:00:00Z.
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Summary:Spontaneous biliary perforation is a rare cause of jaundice in young children. A 3-month old girl presented to a referral facility with a history of jaundice and abdominal distension. Investigations suggested a hepatic cyst but on exploration, she was found to have bilious ascites and a sub-hepatic biloma consistent with spontaneous biliary perforation. Intraoperative cholangiogram demonstrated an intact biliary tree and normal duodenal drainage. Closed-suction drainage of the sub-hepatic collection alone led to complete resolution of symptoms. Keywords: Bile duct perforation, Infant, Jaundice, Spontaneous biliary perforation
Item Description:2213-5766
10.1016/j.epsc.2018.07.027