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Cirugía y cirujanos
versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411
Resumo
GODINEZ-BORREGO, Cristhian G.; VELASCO-VILLANUEVA, Sergio e MUJICA-GUEVARA, Jorge A.. Spontaneous perforation of the common bile duct in a pediatric patient. Case report and short review of the literature. Cir. cir. [online]. 2020, vol.88, n.2, pp.211-214. Epub 15-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19000957.
Introduction:
Spontaneous perforation of the common bile duct is rare. The cause is usually unknown, although it is sometimes related to the malformation of the bile duct.
Clinical case:
Female of 1 year, with abdominal distention, hyporexia and fever, tomography with ascites, surgical findings included retroperitoneal bilioma, peritonitis and perforation of common bile duct. Block resection and primary hepato-duodenal anastomosis were performed.
Discussion:
Spontaneous perforation of the common bile duct tend to evolve insidiously and delay in diagnosis is frequent. Surgical management is decisive, and there are different techniques described.
Conclusion:
A high index of suspicion is important, treatment must be individualized according to each patient.
Palavras-chave : Bilioma; Spontaneous perforation of the biliary tract; Biliary peritonitis.