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A Case of Bile Peritonitis Due to Spontaneous Perforation of Choledochal Cyst in Infant

Journal of the Korean Pediatric Society 1993;36(7):1039-1043.
Published online July 15, 1993.
A Case of Bile Peritonitis Due to Spontaneous Perforation of Choledochal Cyst in Infant
Yong Gi Kim, Byung Chan Lee, Woo Gun Choi, Byung Churl Lee, Kyong Su Lee
Department of Pediatrics, Catholic University Medical College, Seoul, Korea
담관낭종의 자연천공에 의한 담즙성 복막염1례
김용기, 이병찬, 최우건, 이병철, 이경수
가톨릭대학교 의과대학 소아과학교실
Abstract
Bile peritonitis due to spontaneous perforation of choledochal cyst is a rare disease and the etiology of spontaneous perforation is unknown in most of infant cases. Recently, we experienced a case of bile peritonitis caused by spontaneous perforation of choledochal cyst in a 6 month-old female infant. She had progressive abdominal distention with ascites, mild jaundice and intermittent passage of acholic stool. Presence of bile in ascitic fluid was revealed by peritoneal tapping. Bile peritonitis from the perforation of choledochal cyst was confirmed by explorative laprotomy and operative cholangiogram. She had discharged with good condition after choledochal cystectomy and Roux-en-Y choledochijejunostomy. A brief review of related literatures is also presented.
Key Words: Choledochal cyst, Bile peritonitis


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