Spontaneous perforation of choledochal cyst: a study of 13 cases

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
K AndoG Lane

Abstract

Of the 187 cases of infantile choledochal cyst treated at our hospitals, we encountered 13 with spontaneous perforation. All cases were under 4 years old. Eight cases were found to have biliary peritonitis and 5 had a sealed perforation. The shape of the extrahepatic bile duct was cystic in 8 and fusiform in 5. The cyst wall around the perforation was filmy and bile was found to be oozing through the thinned wall. Nine perforations were single while 4 cases had multiple perforations. Four of 17 perforations occurred in the posterior part of the cyst wall. Only 1 case of perforation was associated with protein plugs in a common channel, while 7 of the 10 cases of choledochal cyst requiring percutaneous biliary drainage due to signs of raised intrabiliary pressure were found to have protein plugs. We consider that spontaneous perforation of a choledochal cyst is not rare in infancy. The etiology of a perforation must be epithelial irritation of the biliary tract due to refluxed pancreatic juice caused by pancreatico-biliary malunion associated with mural immaturity due to infancy, rather than an abnormal rise in ductal pressure or congenital mural weakness at a certain point.

Citations

Feb 2, 2013·The Indian Journal of Surgery·Chiranjiva KhandelwalRajeev N Priyadarshi
Dec 4, 2003·Current Problems in Diagnostic Radiology·Angela D Levy, Charles A Rohrmann
Mar 8, 2005·Journal of Pediatric Surgery·Itsuro NagaeTatsuya Aoki
Sep 5, 2002·Injury·John P Raj, Michael Walsh
Jan 8, 2000·Journal of Pediatric Surgery·S SuitaS Matsuo
Mar 10, 2007·Gastroentérologie Clinique Et Biologique·Anne BergerPaul-Henri Cugnenc
Sep 23, 2003·AJR. American Journal of Roentgenology·Yu Unn GanAnne P A Tan Kendrick
Jul 11, 2013·World Journal of Gastroenterology : WJG·Yun-Fei DuanFeng Zhu
Jul 25, 2012·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Mahendra S BhavsarVenugopal H Giriyappa
Jan 27, 2012·Journal of Indian Association of Pediatric Surgeons·Shivaji ManeNitin Dhende
Mar 25, 2016·The Indian Journal of Surgery·Nitish GuptaAbhijit Chandra
Jun 23, 2012·Journal of Gastroenterology·Terumi KamisawaUNKNOWN Japanese Study Group on Pancreaticobiliary Maljunction
Apr 3, 2007·Indian Journal of Pediatrics·Babu M Nyamannawar, Kanishka Das
Oct 27, 2004·Pediatric Surgery International·Voranush ChongsrisawatYong Poovorawan
Apr 13, 2011·Pediatric Surgery International·Liwei ChiangAnette Sundfor Jacobsen
Dec 15, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Sandip PalAnu Eapen
Feb 26, 2015·AJR. American Journal of Roentgenology·Jingyu ChenDong Wang
May 29, 2004·Clinical Nuclear Medicine·Ashwani SoodRakesh Kumar
Dec 21, 2005·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·L HarperP Vergnes
Jan 24, 2017·Journal of Hepato-biliary-pancreatic Sciences·Hiroki IshibashiUNKNOWN Japanese Study Group on Congenital Biliary Dilatation (JSCBD)
Dec 23, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Chang Moo KangWoo Jung Lee
Jan 9, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hiroaki FukuzawaKosaku Maeda
Dec 24, 2005·Acta Paediatrica·Mohammad M F SiddiquiEleri Cusick
Aug 5, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ming-Shian TsaiWei-Jao Chen
Mar 20, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Elizabeth D CochranDavid T Schindel
Feb 14, 2015·Asian Journal of Endoscopic Surgery·Masaya YamotoMariko Koyama
Oct 2, 2013·The Indian Journal of Surgery·Chiranjiv KhandelwalRajeev N Priyadarshi
Jul 20, 2016·Case Reports in Gastrointestinal Medicine·Duminda SubasingheMilinda Huruggamuwa
Apr 21, 2016·The American Journal of Case Reports·Kenjiro IshiiHidetoshi Matsumoto
Jun 24, 2017·Journal of Hepato-biliary-pancreatic Sciences·Naoto UrushiharaHisami Ando
Jun 3, 2020·Pediatric Gastroenterology, Hepatology & Nutrition·Soo-Hong KimHae-Young Kim
Jun 22, 2017·Journal of Medical Case Reports·Makram MoussaBouchoucha Sami
Dec 23, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Yue XinLi Qun Jia
Feb 18, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guoxin SongJian Wang
Jun 14, 2006·Journal of Pediatric Surgery·Shigehisa FuminoTohru Nishimura

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
D P BabbittA R Clemett
Journal of Pediatric Gastroenterology and Nutrition
W R TreemJ Sziklas
Archives of Disease in Childhood
M D StringerE R Howard
© 2022 Meta ULC. All rights reserved