J Korean Pediatr Soc.  1993 Jul;36(7):1044-1046.

Childhood appendicitis in Korea

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 laparotomy and operative cholangiogram. She had discharged with good condition after choledochal cystectomy and Roux-en-Y choledochojejunostomy. A brief review related literatures is also presented.

Keyword

Choledochal cyst; Bile peritonitis

MeSH Terms

Appendicitis*
Ascites
Ascitic Fluid
Bile
Choledochal Cyst
Choledochostomy
Cystectomy
Female
Humans
Infant
Jaundice
Korea*
Laparotomy
Peritonitis
Rare Diseases
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