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  • Title: Spontaneous biliary perforation in an infant: an unusual chronic presentation.
    Author: Vijay BB, Kumar R, Gupta DK, Ragavan M, Mohapatra T, Dhanpathi H, Sharma S, Malhotra A.
    Journal: Clin Nucl Med; 2008 Apr; 33(4):273-5. PubMed ID: 18356667.
    Abstract:
    Spontaneous perforation of the biliary ducts is a rare disorder in infants. Early diagnosis of this entity is important because it can be treated surgically. We report on a 4-month-old child presenting with jaundice and progressive abdominal distention present since birth. Hepatobiliary scintigraphy, which was done to rule out any obstructive pathology, showed a biliary leak from the porta hepatis region leading to biliary ascites and bilateral hydroceles. Surgical exploration and intraoperative cholangiogram confirmed cystic duct perforation. Cholecystectomy and inguinal herniorrhaphy were performed. Follow-up hepatobiliary scintigraphy demonstrated complete resolution of the bile leak and hydroceles.
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