Uncommon Site of Perforation of Biliary Tree in Choledochal Cyst Associated with Chronic Calcific Pancreatitis- A Case Report Ruptured Choledochalcyst
Iranian Journal of Pediatric Surgery,
Vol. 9 No. 2 (2023),
22 October 2023
Abstract
Choledochal cyst presents with various clinical features and complications. Presentations and complications vary across the various age groups. Early identification and early surgical intervention have shown to reduce the complications related to the disease. The treatment of choice is Roux -en-Y hepaticojejunostomy. We present a case of 7 years-old boy who presented with biliary peritonitis due to choledochal cyst.
The perforation was in the proximal biliary tree near the confluence which is not a common site of perforation, either in the case of spontaneous biliary tree rupture or in the choledochal cyst. The patient also had chronic calcific pancreatitis. Such a combination is not mentioned in the literature. Unconventional surgical procedure (hepaticoduodenostomy) was performed as a part of treatment, reserving jejunum for future pancreatic drainage, if the need arises.
- ruptured choledochal cyst
- pancreatitis with choledochal cyst
- hepaticoduodenostomy
- biliary peritonitis in choledochal cyst
- unusual site of rupture of choledochal cyst
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References
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