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Spontaneous perforation of the bile duct in a neonate: drainage or resection? | LitMetric

Spontaneous perforation of the bile duct in a neonate: drainage or resection?

J Chin Med Assoc

Department of Surgery, Fong-Yuan Hospital, Department of Health, Executive Yuan, Taiwan, ROC.

Published: July 2012

AI Article Synopsis

  • Spontaneous perforation of the bile duct is a rare but potentially fatal condition that requires prompt diagnosis and treatment.
  • A case study highlights a 10-day-old female neonate who successfully recovered after undergoing a single-stage operation involving cholecystectomy and biliary reconstruction.
  • The choice between drainage, gallbladder resection, or bile duct resection should be tailored to the patient's clinical condition and what the surgical team observes during the procedure.

Article Abstract

Spontaneous perforation of the bile duct is a rare disease, and delayed diagnosis without optimal treatment can be fatal. Abdominal drainage with or without repair of perforation seems to be adequate in most case series. We report on a 10-day-old female neonate with spontaneous perforation of the bile duct over the junction of cystic duct and common hepatic duct, who recovered uneventfully with follow-up for 3 years after receiving a single-stage operation of cholecystectomy and biliary reconstruction. Drainage only or resection of the gall bladder or bile duct should depend on the patient's clinical conditions and intraoperative findings.

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Source
http://dx.doi.org/10.1016/j.jcma.2012.05.008DOI Listing

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