Common bile duct obstruction due to an intraluminal mass of candidiasis in a previously healthy child

A 3 6/12-year-old previously healthy girl had intermittent attacks of abdominal pain following a blunt abdominal trauma. At admission to the hospital, she had jaundice and hepatomegaly. Results of laboratory tests indicated an obstructive pattern, and ultrasonography revealed an intraluminal mass in...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1986-06, Vol.77 (6), p.858-861
Main Authors: CARSTENSEN, H, NILSSON, K. O, NETTELBLAD, S.-C, CEDERLUND, C.-G, HILDELL, J
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Bile - microbiology
Biological and medical sciences
Candida albicans - isolation & purification
Candidiasis - complications
Child, Preschool
Cholestasis - diagnosis
Cholestasis, Extrahepatic - diagnosis
Cholestasis, Extrahepatic - etiology
Common Bile Duct - microbiology
Common Bile Duct Diseases - diagnosis
Common Bile Duct Diseases - etiology
Diagnosis, Differential
Female
Human mycoses
Humans
Infectious diseases
Medical sciences
Mycoses
Mycoses of the digestive system
Ultrasonography
Wounds, Nonpenetrating - complications
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Summary:A 3 6/12-year-old previously healthy girl had intermittent attacks of abdominal pain following a blunt abdominal trauma. At admission to the hospital, she had jaundice and hepatomegaly. Results of laboratory tests indicated an obstructive pattern, and ultrasonography revealed an intraluminal mass in the distal common bile duct. At surgery, the mass was confirmed as the cause of obstruction, and it was removed. Microscopic analysis indicated that the amorphous material was fungi infested. Growth cultures from bile and feces yielded Candida albicans. Postoperative treatment with T-tube drainage and antimycotic drugs led to an uneventful recovery. Clinical, biochemical, and ultrasonographic follow-up have shown no evidence of recurrence. A possible cause and effect relationship between the trauma and the development of biliary obstruction is suggested.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.77.6.858