Moss R L, Musemeche C A
Division of Pediatric Surgery, Stanford University School of Medicine, CA 94304, USA.
J Pediatr Surg. 1997 Oct;32(10):1490-1. doi: 10.1016/s0022-3468(97)90572-8.
One to two percent of patients who have choledochal cysts present with cyst rupture and bile peritonitis. Reported cases have been managed with external drainage of the cyst followed by a second procedure to excise the cyst and reconstruct the biliary tract. The authors report two cases of ruptured choledochal cyst treated with primary cyst excision and biliary drainage. The satisfactory outcome of these patients suggests that this is the preferred management.
胆总管囊肿患者中有1%至2%会出现囊肿破裂和胆汁性腹膜炎。已报道的病例采用囊肿外引流术治疗，随后进行第二步手术切除囊肿并重建胆道。作者报告了两例采用原发性囊肿切除和胆道引流治疗的破裂胆总管囊肿病例。这些患者的良好预后表明这是首选的治疗方法。
