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Goel P, Jain V, Manchanda V, et al. Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children. J Clin Diagn Res. 2013;7(6):1201-6doi: 10.7860/JCDR/2013/5429.3076.
Goel, P., Jain, V., Manchanda, V., Sengar, M., Gupta, C. R., & Mohta, A. (2013). Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children. Journal of clinical and diagnostic research : JCDR, 7(6), 1201-6. https://doi.org/10.7860/JCDR/2013/5429.3076
Goel, Prabudh, et al. "Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children." Journal of clinical and diagnostic research : JCDR vol. 7,6 (2013): 1201-6. doi: https://doi.org/10.7860/JCDR/2013/5429.3076
Goel P, Jain V, Manchanda V, Sengar M, Gupta CR, Mohta A. Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children. J Clin Diagn Res. 2013 Jun;7(6):1201-6. doi: 10.7860/JCDR/2013/5429.3076. Epub 2013 Jun 01. PMID: 23905142; PMCID: PMC3708237.
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J Clin Diagn Res. 2013 Jun;7(6):1201-6. doi: 10.7860/JCDR/2013/5429.3076. Epub 2013 Jun 01.

Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children.

Journal of clinical and diagnostic research : JCDR

Prabudh Goel, Vishesh Jain, Vivek Manchanda, Mamta Sengar, Chhabi Ranu Gupta, Anup Mohta

Affiliations

  1. Assistant Professor, Department of Pediatric Surgery, King George's Medical University , Lucknow, UP, India .

PMID: 23905142 PMCID: PMC3708237 DOI: 10.7860/JCDR/2013/5429.3076

Abstract

Spontaneous or idiopathic biliary perforations are an infrequently encountered but an important cause of surgical jaundice in paediatric patients and one of the most common causes of surgical jaundice in infancy. A pre-operative diagnosis with a clinical history and physical findings may not be possible in most of the cases. The exact cause of the perforation remains unclear and the diagnosis is made at the time of laparotomy for an acute abdomen. An early, efficient and an effective surgical management is associated with a good prognosis; however, a delay in the correct diagnosis or an inappropriate management may result in bacterial contamination of the biliary ascites, with an unfavourable outcome. The relative rarity of this condition is reflected by the very few case reports, limited case studies and scarcity of published literature.

Keywords: Biliary ascites; Choledochal cyst perforation; Common bile duct perforation; Gall bladder perforation,; Idiopathic biliary perforation; Spontaneous biliary perforation

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