Biomaterial Database

Spontaneous perforation of the extrahepatic bile duct in an infant. 2001

L S Kasat, and S S Borwankar, and M Jain, and A Naregal

Department of Pediatric Surgery, KEM Hospital, Parel, Mumbai, India.

A 1.2-year-old male presented with gradual-onset biliary ascites, mild icterus, and failure to thrive due to spontaneous bile-duct perforation (SPBD) confirmed by technetium 99Tc HIDA scan and abdominal paracentesis. Peritoneal tube drainage for 2 weeks helped the perforation to seal spontaneously, as there was no distal obstruction. No surgery was needed. Only less than 100 cases of SPBD have been reported in the English literature. The pathogenesis and treatment options are reviewed and discussed.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D010538	Peritonitis	INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs.	Primary Peritonitis,Secondary Peritonitis,Peritonitis, Primary,Peritonitis, Secondary
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001201	Ascites	Accumulation or retention of free fluid within the peritoneal cavity.
D001649	Bile Duct Diseases	Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.	Bile Duct Disease,Disease, Bile Duct,Diseases, Bile Duct,Duct Disease, Bile,Duct Diseases, Bile
D012422	Rupture, Spontaneous	Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force.	Ruptures, Spontaneous,Spontaneous Rupture,Spontaneous Ruptures
D017734	Bile Ducts, Extrahepatic	Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).	Extrahepatic Biliary System,Bile Duct, Extrahepatic,Biliary System, Extrahepatic,Biliary Systems, Extrahepatic,Duct, Extrahepatic Bile,Ducts, Extrahepatic Bile,Extrahepatic Bile Duct,Extrahepatic Bile Ducts,Extrahepatic Biliary Systems,System, Extrahepatic Biliary,Systems, Extrahepatic Biliary