Villafaña Guiza L M, García Pérez O, Azpirox Contreras J
Rev Gastroenterol Mex. 1976 Jan-Jun;41(1):7-14.
At the pediatric surgery service of Centro Médico La Raza during 20 years six spontaneous perforations of biliary ducts have occurred. Two groups of causes are proposed; the first includes previous biliary ducts malformations with two sub-groups, one with great malformations as partial atresia, cystic dilatation and cystic disease of the biliary tract; the second sub-group includes weak areas. The second group has no previous pathology. Precipitating causes are infections and obstructions. Three of the six patients corresponded to duct perforation and three to gallbladder perforation; the initial diagnosis was different to biliary pathology in all the patients. Male were predominant; there was no previous pathology in any patient; this is difficult to interpret as all of them presented with important morphologic changes. Treatment possibilities are discussed comparing our experience with others'.
在拉扎医疗中心的儿科外科，20年间发生了6例胆管自发性穿孔。提出了两组病因；第一组包括先前的胆管畸形，有两个亚组，一个是严重畸形，如部分闭锁、囊性扩张和胆道囊性疾病；第二个亚组包括薄弱区域。第二组没有先前的病变。诱发因素是感染和梗阻。6例患者中3例为胆管穿孔，3例为胆囊穿孔；所有患者的初始诊断均与胆道疾病不同。男性占主导；所有患者均无先前病变；鉴于所有患者均出现重要的形态学改变，这一点难以解释。结合我们与他人的经验讨论了治疗可能性。
