Karnak I, Tanyel F C, Büyükpamukçu N, Hiçsönmez A
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
J Pediatr Surg. 1997 May;32(5):736-8.
Rupture is one of the rare complications of choledochal cysts. The cause of rupture is unknown in many cases and is considered to be spontaneous. Two patients admitted to the hospital with acute abdominal picture were initially thought to have postoperative abscess and appendicitis. However, the presence of bilelike fluid suggested a bile tract pathology, and evaluation showed rupture choledochal cysts. Although spontaneous rupture of a choledochal cyst is a rare complication, and can sometimes be the initial manifestation of a choledochal cyst, it should be considered in the presence of bilelike fluid and differentiated from spontaneous perforation of the bile tract. In spontaneous rupture of choledochal cyst, cystectomy, cholecystectomy, and Roux-Y hepaticoportoenterostomy is the treatment of choice.
破裂是胆总管囊肿的罕见并发症之一。在许多病例中，破裂原因不明，被认为是自发性的。两名因急性腹痛入院的患者最初被认为患有术后脓肿和阑尾炎。然而，胆汁样液体的存在提示胆道病变，评估显示为胆总管囊肿破裂。尽管胆总管囊肿自发性破裂是一种罕见的并发症，有时可能是胆总管囊肿的首发表现，但在出现胆汁样液体时应考虑到这一情况，并与胆道自发性穿孔相鉴别。对于胆总管囊肿自发性破裂，首选的治疗方法是囊肿切除术、胆囊切除术和Roux-Y肝门肠吻合术。
