Spontaneous perforation of the common bile duct in children. Academic Article uri icon

Overview

abstract

  • The authors describe radiologic findings in five patients with spontaneous perforation of the common bile duct (a rare disorder). The patients were 5 weeks, 9 weeks, 3 months, 11 months, and 2 1/2 years old at presentation. The most common presenting complaints were jaundice and abdominal distention (due to ascites). Sonographic findings included ascites in three patients, a loculated fluid collection around the gallbladder in two patients, and both in one patient. The biliary tree was undilated in all patients. Results of hepatobiliary scintigraphy definitely demonstrated that intraperitoneal fluid originated from the biliary tract. Intraoperative cholangiography was used to confirm the diagnosis at surgery. All children were successfully treated with surgery. Recognition of these findings on sonograms and subsequent confirmation with scintigraphy are important to prevent delays in diagnosis of a potentially fatal condition.

publication date

  • September 1, 1989

Research

keywords

  • Common Bile Duct Diseases
  • Organotechnetium Compounds

Identity

Scopus Document Identifier

  • 0024340667

Digital Object Identifier (DOI)

  • 10.1148/radiology.172.3.2672089

PubMed ID

  • 2672089

Additional Document Info

volume

  • 172

issue

  • 3