Chilukuri S, Bonet V, Cobb M
Department of Surgery, Michigan State University, East Lansing 48824.
Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1201-2. doi: 10.1016/0002-9378(90)90690-9.
Spontaneous perforation of the biliary system is an unusual neonatal phenomenon that is rarely recognized at birth. To date, it has not been reported antenatally. A 16-year-old pregnant adolescent had an ultrasonogram at 25 weeks of pregnancy that revealed ascites in the fetus. After the infant was delivered at 32 weeks, a hepato-iminodiacetic acid scan showed a spontaneous rupture of the common bile duct. The infant was treated with external drainage of the biliary tree and recovered well. This case demonstrates that spontaneous perforations of the bile ducts can occur much earlier than the usually described 2 to 12 weeks after birth, can be diagnosed antenatally, and should be added to the list of causes of fetal ascites.
胆道系统自发性穿孔是一种罕见的新生儿现象，出生时很少被识别。迄今为止，尚未有产前报告。一名16岁的青春期孕妇在妊娠25周时进行超声检查，发现胎儿有腹水。婴儿在32周时出生后，肝亚氨基二乙酸扫描显示胆总管自发性破裂。该婴儿接受了胆道外引流治疗，恢复良好。本病例表明，胆管自发性穿孔可发生在比通常描述的出生后2至12周更早的时间，可在产前诊断，应列入胎儿腹水的病因清单。
