European Journal of Pediatrics

, Volume 138, Issue 2, pp 193–195 | Cite as

Spontaneous perforation of a choledochal cyst

  • Y. Yamashiro
  • M. Sato
  • A. Hoshino
Case Reports


Two children with spontaneous perforation of a choledochal cyst were treated successfully. In one of the patients an operative cholangiogram demonstrated not only fusiform dilatation of the common bile duct but also an unusual long common channel between the junction of the common bile duct and pancreatic duct, and the papilla. The long common channel, namely an anomalous choledocho-pancreatic ductal junction, under which there were concentrated bile acids and refluxed pancreatic juice, was thought to lead to chronic inflammation of the bile duct, followed by choledochal cyst and/or perforation of the cyst.

Key words

Choledochal cyst Anomalous choledocho-pancreatic ductal junction Long common channel 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    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 Pediat Surg 12:541–546Google Scholar
  2. 2.
    Miyano T, Suruga K, Suda K (1979) Abnormal choledocho-pancreatico ductal junction related to the etiology of infantile obstructive jaundice diseases. J Pediat Surg 14:16–26Google Scholar
  3. 3.
    Komi N, Kashiwagi U, Ikeda N (1977) The etiology of congenital dilatation of the biliary duct. Jpn J Pediat Surg 9:1101–1108 (Eng abst)Google Scholar
  4. 4.
    Yotuyanagi S (1936) Contributions to aetiology and pathology of idiopathic cystic dilatation of common bile duct, with report of 3 cases; new aetiological theory. Gann 30:601–652Google Scholar
  5. 5.
    Suruga K, Hirai Y, Nagashima K, Wagai T, Inui M (1969) Ultrasonic Echo examination as an aid in diagnosis of congenital bile duct lesions. J Pediat Surg 4:452–456Google Scholar
  6. 6.
    Haward ER, Johnston DI, Mowat AP (1976) Spontaneous perforation of common bile duct in infants. Arch Dis Child 51:883–886Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • Y. Yamashiro
    • 1
  • M. Sato
    • 1
  • A. Hoshino
    • 1
  1. 1.Department of PediatricsJuntendo University School of MedicineTokyoJapan

Personalised recommendations