Management of biliary perforation in children

Mirza, Bilal; Ijaz, Lubna; Saleem, Muhammad; Iqbal, Shahid; Sharif, Muhammad Ashraf; Sheikh, Afzal

doi:10.4103/0189-6725.70413

Cited by 14 publications

(16 citation statements)

References 20 publications

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“…Ultrasound will show free or loculated intraperitoneal fluid with normal intra-and extra-hepatic ducts. [3,5,7] In our case, a increase in the WBC count and conjugated bilirubin was detected. Common bile duct perforation should also be considered if the patient presents with acute abdomen symptoms with elevated conjugated bilirubin and pericolic fluid shown in USG and CT imaging.…”

Section: Discussionmentioning

confidence: 49%

“…The causes are various and include spontaneous or idiopathic causes, anomalies of the pancreaticobiliary ductal system, congenital, trauma, choledochal cyst, infection, necrotizing enterocolitis, and iatrogenic. [1,3,5] The etiology of spontaneous perforation of CBD is unclear, however the proposed theories include congenital, ischemia, distal biliary obstruction, pancreaticobiliary malunion, and infection. The condition is mostly diagnosed intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…The condition is mostly diagnosed intraoperatively. [3,5] The presentation of CBD perforation may be acute or insidious; the insidious type being more common (80%). [5] The acute form is characterized by fever, severe abdominal pain, vomiting, gastric outlet obstruction peritonitis, toxemia, and shock.…”

Section: Discussionmentioning

confidence: 99%

“…[2] The etiology is unclear, but the proposed theories include congenital weakness of CBD, trauma, necrotizing enterocolitis, intramural thrombosis, iatrogenic, or stone in the CBD. [3,4] In this case report, we would like to highlight a case of CBD in a patient without any medical or traumatic history.…”

Section: Spontaneous Common Bile Duct (Cbd)mentioning

confidence: 99%

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Spontaneous perforation of the common bile duct: A rare case

Türkoğlu¹,

Bedel²

2019

FNG & Bilim Tıp Dergisi

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Spontaneous common bile duct perforation is a rare cause of acute abdomen. Preoperative diagnosis is rare. The etiology is unclear, but the proposed theories include congenital, trauma, necrotizing enterocolitis, intramural thrombosis, iatrogenic, or bile duct stones. In this article, we report a case of common bile duct perforation in a 13-month-old female patient without any medical or traumatic history. Although it is a very rare disease, emergency physicians should consider common bile duct in patients with complaints of abdominal pain, distention, nausea, vomiting, and fever. An overlooked diagnosis or misdiagnosis can be potentially fatal.Spontan koledok perforasyonu: Nadir bir olgu ÖZ Spontan koledok perforasyonu, akut karnın nadir bir nedenidir. Ameliyat öncesi tanı nadirdir. Etyolojisi açık değildir, fakat teoriler doğuştan, travma, nekrotizan enterokolit, intramural tromboz, iyatrojenik veya koledokta taştır. Bu yazıda, 13 aylık herhangi bir tıbbi veya travma öyküsü olmayan bir kız hastada koledok perforasyonunu olgusu sunuldu. Çok nadir görülen bir hastalık olmasına rağmen, acil hekimleri karın ağrısı, şişkinlik, mide bulantısı, kusma ve ateş şikayetleri olan hastalarda koledok rüptürünü akılda tutmalıdırlar. Gözden kaçan veya yanlış bir tanı, potansiyel olarak ölümcül olabilir.Anahtar sözcükler: Karın ağrısı; koledok; perforasyon.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Spontaneous Common Bile Duct (Cbd)mentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous perforation of the common bile duct: A rare case

Türkoğlu¹,

Bedel²

2019

FNG & Bilim Tıp Dergisi

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“…Extra hepatic biliary perforations in neonates and infants typically occur along the common bile duct. Several etiologies have been described in the literature and range from anomalous union of the pancreatico-biliary ductal system, congenital weakness of the ductal system, choledochal cysts and trauma [9]. Gallbladder perforation is rare and has been shown to result from trauma, gallstones, distal obstruction, and typhoid fever [9].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Gallbladder Perforation in a Preterm Neonate

Maxwell¹

2015

JPNC

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Spontaneous gallbladder perforation among the pediatric population is a rare occurrence. The authors present a 26 week gestation white male with a history of Spontaneous bowel perforation and repair that presented with recurrent pneumoperitoneum. The patient was found upon laparotomy to have a perforation at the gallbladder fundus which was treated with tube cholecystostomy. A review of the current literature is provided.

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Spontaneous gallbladder perforation in a child secondary to a gallbladder cyst: a rare presentation and review of literature

et al. 2016

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Spontaneous gallbladder perforation is rare in children. The etiology of gallbladder perforation varies greatly and is often unknown. Identified causes include infection, congenital, stones or choledochal cysts. Presently there are only five reported cases of spontaneous gallbladder perforation in children in the English literature. As such, the optimal method of diagnosis and management remains controversial. We report the case of a 2-year-old girl who presented with peritonitis secondary to spontaneous gallbladder perforation.

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Management of biliary perforation in children

Abstract: Early optimal management of biliary perforations remarkably improved the very high mortality and morbidity that characterised this condition in the past.

Cited by 14 publications

References 20 publications

Spontaneous perforation of the common bile duct: A rare case

Spontaneous perforation of the common bile duct: A rare case

Spontaneous Gallbladder Perforation in a Preterm Neonate

Spontaneous gallbladder perforation in a child secondary to a gallbladder cyst: a rare presentation and review of literature

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