Neonatal spontaneous biliary perforation: Case report

Spontaneous biliary perforation in neonates is rare. The etiology of this pathology is idiopathic and various management strategies ranging from non-operative treatment to complex operations, such as biliary-enteric reconstruction, are performed, with few reported outcomes. A 3-week-old female, born...

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Published inMedicina Universitaria Vol. 18; no. 72; pp. 163 - 164
Main Authors Reyna-Sepúlveda, F., Esparza-González, A., Govea-Ortiz, V., Martínez-Flores, G., Montes-Tapia, F., Garza-Luna, U., Muñoz-Maldonado, G.
Format Journal Article
LanguageEnglish
Published Masson Doyma México S.A 01.07.2016
Subjects
Biliary
Neonatal
Perforation
Spontaneous
Neonatal
Perforation
Spontaneous
Biliary
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Summary:Spontaneous biliary perforation in neonates is rare. The etiology of this pathology is idiopathic and various management strategies ranging from non-operative treatment to complex operations, such as biliary-enteric reconstruction, are performed, with few reported outcomes. A 3-week-old female, born at term, presented fever, abdominal distension, and acholic stool. An ultrasound was performed, which revealed generalized ascites and a poorly-defined collection. An emergency laparotomy confirmed perforation in the distal common bile duct and a biliary-enteric-anastomosis was performed. Wide drainage has been reported as the best initial management strategy for spontaneous biliary perforation, although it depends on the patient's clinical status and intraoperative findings. Spontaneous infantile biliary perforation is rare. Main management is wide drainage with, most perforations being resolved in 2 weeks.
ISSN:1665-5796
1665-5796
DOI:10.1016/j.rmu.2016.05.006