A very low-birth-weight infant with spontaneous perforation of a choledochal cyst and adjacent pseudocyst formation.

J Pediatr Surg

Department of Pediatric Surgery, Kakogawa West City Hospital, 384-1 Hiratsu, Yoneda-cho, Kakogawa-shi, Hyogo, 675-8611, Japan.

Published: July 2012

Spontaneous perforation of a choledochal cyst with ensuing pseudocyst formation is a very rare complication. We report the development of a pseudocyst adjacent to a choledochal cyst in a very low-birth-weight infant at 2 months of age. Elective excision of the choledochal cyst and biliary tract reconstruction were successfully performed 2 months later when the infant weighed 3 kg. Delayed primary repair may be a viable alternative treatment for low-birth-weight infants with choledochal cysts.

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http://dx.doi.org/10.1016/j.jpedsurg.2012.03.055DOI Listing

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