Abstract
A 10-year-old boy of African origin with AIDS and Stage IV Hodgkin’s lymphoma presented with a short history of abdominal distension and bile ascites shown to be due to a perforation of his common bile duct. This was treated initially by laparotomy, external peritoneal drainage and endoscopic biliary stenting although without success. He then underwent a laparotomy and biliary diversion (Roux-en-Y hepaticojejunostomy) with satisfactory resolution of his bile duct pathology. Although the co-morbid conditions are likely to be contributory factors, biliary perforation in either disease has not been reported before.
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References
Dijkstra CH (1932) Graluistorting in de buikholte bij een zuigeling. Maandschr Kindegeneeskd 1:409–414
Lilly JR, Weintraub WH, Altman RP (1974) Spontaneous perforation of the extrahepatic bile ducts and bile peritonitis in infancy. Surgery 75:664–673
Davenport M, Heaton ND, Howard ER (1991) Spontaneous perforation of the bile duct in infants. Br J Surg 78:1068–1070
Chardot C, Iskandarani F, de Dreuzy O et al (1996) Spontaneous perforation of the biliary tract in infancy: a series of 11 cases. Eur J Pediatr Surg 6:341–346
Hammoudi SM, Alauddin A (1998) Idiopathic perforation of the biliary tract in infancy and childhood. J Pediatr Surg 23:185–187
Ohkawa H, Takahashi H, Maie M (1977) A malformation of the pancreatico-biliary system as a cause of perforation of the biliary tract in childhood. J Pediatr Surg 12:541–546
Banani SA, Bahador A, Shiraz NN (1993) Idiopathic perforation of the extrahepatic bile duct in infancy: pathogenesis, diagnosis, and management. J Pediatr Surg 28:950–952
Dolgin SE, Levine RL, Norton KI et al (1991) Complete spontaneous disruption of the common bile duct: a late complication of necrotizing enterocolitis? J Pediatr Gastroenerol Nutr 12:379–382
Yano H, Matsumoto H (1983) Choledochal cyst following operation for idiopathic perforation of the biliary tract in childhood. Jpn J Surg 13:441–445
Kang SB, Han HS, Min SK, Lee HK (2004) Nontraumatic perforation of the bile duct in adults. Arch Surg 139:1083–1087
Desta TT, Man KM, Bouvier D, Leung J (1998) Choledochoenteric fistula due to mycobacterium tuberculosis in a patient with AIDS. Gastro Endosc 48:623–626
Jarmin R, Alwi RI, Shaharuddin S, Salleh KM, Gunn A (2004) Common bile duct perforation due to tuberculosis: a case report. Asian J Surg 27:342–344
Ukarapol N, Chartapisak W, Lertprasertsuk N et al (2002) Cytomegalovirus-associated manifestations involving the digestive tract in children with human immunodeficiency virus infection. J Pediatr Gastroenterol Nutr 35:669–673
Davenport M, Saxena R, Howard ER (1996) Acquired biliary atresia. J Pediatr Surg 31:1721–1723
Castagnetti M, Houben C, Patel S et al (2006) Minimally invasive management of bile leaks following blunt liver trauma in children. J Pediatr Surg (in press)
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Makin, E., Davenport, M. Idiopathic biliary perforation in a 10-year-old boy. Ped Surgery Int 22, 465–467 (2006). https://doi.org/10.1007/s00383-006-1638-3
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DOI: https://doi.org/10.1007/s00383-006-1638-3