Spontaneous perforation of the common bile duct in children

Journal Article · Fri Sep 01 00:00:00 EDT 1989 · Radiology; (USA)

DOI:https://doi.org/10.1148/radiology.172.3.2672089· OSTI ID:5360964

Haller, J O; Condon, V R; Berdon, W E; Oh, K S; Price, A P; Bowen, A; Cohen, H L ^[1]

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1. State Univ. of New York Downstate Medical Center, Brooklyn (USA)

The authors describe radiologic findings in five patients with spontaneous perforation of the common bile duct (a rare disorder). The patients were 5 weeks, 9 weeks, 3 months, 11 months, and 2 1/2 years old at presentation. The most common presenting complaints were jaundice and abdominal distention (due to ascites). Sonographic findings included ascites in three patients, a loculated fluid collection around the gallbladder in two patients, and both in one patient. The biliary tree was undilated in all patients. Results of hepatobiliary scintigraphy definitely demonstrated that intraperitoneal fluid originated from the biliary tract. Intraoperative cholangiography was used to confirm the diagnosis at surgery. All children were successfully treated with surgery. Recognition of these findings on sonograms and subsequent confirmation with scintigraphy are important to prevent delays in diagnosis of a potentially fatal condition.

• OSTI ID: 5360964
• Journal Information: Radiology; (USA), Vol. 172:3; ISSN 0033-8419
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BILIARY TRACT
IMAGE PROCESSING
DIGESTIVE SYSTEM DISEASES
DIAGNOSIS
BIOMEDICAL RADIOGRAPHY
CHILDREN
INFANTS
PATIENTS
SCINTISCANNING
SYMPTOMS
ULTRASONOGRAPHY
AGE GROUPS
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
MEDICINE
NUCLEAR MEDICINE
PROCESSING
RADIOISOTOPE SCANNING
RADIOLOGY
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