Jindal B, Bhatnagar V
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Trop Gastroenterol. 2008 Jan-Mar;29(1):48-50.
Spontaneous perforation of the extra-hepatic biliary tract presenting with pseudocyst is rare. We report the case of a two-month old infant who presented to us with increasing jaundice and progressive loss of weight. Ultrasonography, magnetic resonance cholangiopancreatography and hepatobiliary iminodiacetic acid scan revealed features of obstructed choledochal cyst. Laparotomy revealed a small, walled-offcollection of bile near the confluence of the cystic and common bile ducts. Distal obstruction was excluded and biliary tract drainage was successful in treating the infant.
表现为假性囊肿的肝外胆道自发性穿孔很少见。我们报告一例两个月大的婴儿，该婴儿因黄疸加重和体重逐渐减轻前来就诊。超声检查、磁共振胰胆管造影和肝胆亚氨基二乙酸扫描显示胆总管囊肿梗阻的特征。剖腹手术发现胆囊管和胆总管汇合处附近有一小团包裹性胆汁。排除远端梗阻，胆道引流成功治愈了该婴儿。
