All issues > Volume 36(7); 1993

Case Report

J Korean Pediatr Soc. 1993;36(7):1039-1043. Published online July 15, 1993.

A Case of Bile Peritonitis Due to Spontaneous Perforation of Choledochal Cyst in Infant

Yong Gi YG Kim¹, Byung Chan BC Lee¹, Woo Gun WG Choi¹, Byung Churl BC Lee¹, Kyong Su KS Lee¹

¹Department of Pediatrics, Catholic University Medical College, Seoul, Korea

Abstract

Bile peritonitis due to spontaneous perforation of choledochal cyst is a rare disease and the etiology of spontaneous perforation is unknown in most of infant cases. Recently, we experienced a case of bile peritonitis caused by spontaneous perforation of choledochal cyst in a 6 month-old female infant. She had progressive abdominal distention with ascites, mild jaundice and intermittent passage of acholic stool. Presence of bile in ascitic fluid was revealed by peritoneal tapping. Bile peritonitis from the perforation of choledochal cyst was confirmed by explorative laprotomy and operative cholangiogram. She had discharged with good condition after choledochal cystectomy and Roux-en-Y choledochijejunostomy. A brief review of related literatures is also presented.

Keywords :Choledochal cyst, Bile peritonitis