2005, Number 2
Bile duct perforation in an infant
García-Murray O, Hernández-Archunida EJ, Villafaña-Guiza LM, Quiroz-Mendienta K, Guillen-Blancas E
Full text
Language: Spanish
References: 6
Page: 111-114
PDF size: 42.96 Kb.
ABSTRACT
Introduction: Spontaneous perforation of bile duct is a rare but a important cause of jaundice in the infant and needs special surgical care.Case report: A 27.6 weeks gestation male, was born because a partial placenta detachment; he weighted 1,229gr, had a 7/8 Apgar score and required NICU because of hyaline membrane disease and sepsis. He was managed for 55 days requiring multiple treatments. He stayed well for 54 days after discharge of the Hospital, and was asymptomatic. On day 110th after birth, he developed abdominal distention, poor feeding, jaundice, and fever, with non-colored stools and choluria. He was treated at the ICU for cholangitis, but as abdominal distention revolved and jaundice got worse he underwent any exploratory laparotomy which reveled a severe biliary peritonitis secondary to a perforation of the bile duct at the cystic junction. He also had an inflamtory pancreatitis and retropancreatic infiltration with an inflamed and dilated gallbladder. A cholecistectomy was performed, with choledocal and Hepatic exploration. and 2 very little tube were put and the hepatic side and the other to the jejunum, He did well. Histophatological diagnosis was acute and chronic ulcerative cholecystytis.
Conclusion: Prognosis of this patients depend or diagnostic suspicion and adequate treatment.
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