Idiopathic common bile duct perforation: a case report
Tiou, M.M.; Huang, S.C.; Huang, S.C.; Shieh, C.S.; Lee, C.H.
Changgeng Yi Xue Za Zhi 18(3): 270-274
1995
ISSN/ISBN: 2072-0939 PMID: 8521339 Document Number: 450689
Spontaneous or idiopathic perforation of the bile duct (IPBD) in neonates and infants is a rare disease. An 1-year-5-month-old female child admitted with progressive abdominal distension and generalized jaundice. She had previously been treated for bacterial peritonitis at another hospital by using strong antibiotics. Abdominal tapping revealed bilious ascites suggesting a possible biliary tree perforation and was later confirmed by the scintigraphy study. She was subsequently operated and recovered uneventfully. The mode of presentation, diagnosis and treatment are described and the literature reviewed.