Spontaneous rupture of choledochal cyst: An unusual cause of acute abdomen in children

Rupture is one of the rare complications of choledochal cysts. The cause of rupture is unknown in many cases and is considered to be spontaneous. Two patients admitted to the hospital with acute abdominal picture were initially thought to have postoperative abscess and appendicitis. However, the pre...

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Bibliographic Details
Published in:Journal of pediatric surgery 1997-05, Vol.32 (5), p.736-738
Main Authors: Karnak, I, Tanyel, F C, Büyükpamukçu, N, Hiçsönmez, A
Format: Article
Language:English
Subjects:
Abdomen, Acute - etiology
Bile Duct Diseases - diagnosis
Biological and medical sciences
Child
Cholecystectomy
Choledochal Cyst - complications
Choledochal Cyst - diagnosis
Choledochal Cyst - surgery
Female
Humans
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Portoenterostomy, Hepatic
Rupture, Spontaneous
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary:Rupture is one of the rare complications of choledochal cysts. The cause of rupture is unknown in many cases and is considered to be spontaneous. Two patients admitted to the hospital with acute abdominal picture were initially thought to have postoperative abscess and appendicitis. However, the presence of bilelike fluid suggested a bile tract pathology, and evaluation showed ruptured choledochal cysts. Although spontaneous rupture of a choledochal cyst is a rare complication, and can sometimes be the initial manifestation of a choledochal cyst, it should be considered in the presence of bilelike fluid and differentiated from spontaneous perforation of the bile tract. In spontaneous rupture of choledochal cyst, cystectomy, cholecystectomy, and Roux-Y hepaticoportoenterostomy is the treatment of choice.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(97)90020-8