Spontaneous perforation of the common hepatic duct in a child: an unexpected intraoperative encounter.
BMJ Case Rep
; 17(7)2024 Jul 16.
Article
en En
| MEDLINE
| ID: mdl-39013619
ABSTRACT
Spontaneous or idiopathic bile duct perforation is rare, mostly seen in children from 25 weeks of gestation to 7 years of age, with the confluence of cystic duct and common hepatic duct (CHD) being the most common site. The exact aetiopathogenesis remains elusive and poorly understood, leading to a lack of consensus on its optimal management. The condition is often diagnosed intraoperatively. We present a case of spontaneous perforation of the CHD in a boy in his middle childhood, alongside a review of relevant literature. The patient presented with acute abdomen and pyobiliary peritonitis, for which a hollow viscus perforation was suspected. An emergent laparotomy revealed a 0.5 cm CHD perforation. Surgical intervention involved T-tube insertion and drainage, leading to a successful recovery. This case underscores the challenge of preoperative diagnosis, necessitating prompt exploration after initial resuscitation. There is a need for clinical vigilance and tailored surgical approaches.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Perforación Espontánea
/
Conducto Hepático Común
Idioma:
En
Revista:
BMJ Case Rep
/
BMJ case reports
Año:
2024
Tipo del documento:
Article