Sunil Kanoujia, Gupta Archika, Verma Ajay Kumar, Singh Abhishek Kumar, Kureel Shiv Narain, Pandey Anand
Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Afr J Paediatr Surg. 2018 Jan-Mar;15(1):53-55. doi: 10.4103/ajps.AJPS_74_17.
Spontaneous perforation of common bile duct is a rare phenomenon; few cases are reported in literature. Hence, there is a dilemma for the management of these cases, but with modern radiological equipment and high degree of suspicion, it is possible to diagnose early. The overall prognosis of this condition is good, provided an early surgical intervention is instituted; we are reporting a case of a 6-year-old male with spontaneous perforation of common hepatic duct. Managed by repair of rent over T-tube, postoperative period was uneventful, T-tube was removed after 3 weeks, and the patient is doing well in follow-up.
胆总管自发性穿孔是一种罕见现象；文献中报道的病例很少。因此，对于这些病例的处理存在两难境地，但借助现代放射设备和高度的怀疑意识，早期诊断是有可能的。如果能早期进行手术干预，这种情况的总体预后良好；我们报告一例6岁男性肝总管自发性穿孔的病例。通过在T形管上修补裂口进行处理，术后过程顺利，3周后拔除T形管，患者在随访中情况良好。
