[Choleperitoneum due to rupture of the intrahepatic bile ducts caused by a closed injury of the abdomen. Apropos of 2 pediatric cases].
Two cases of biliary peritonitis due to intra hepatic bile duct rupture are reported. The first occurred in a seven year old girl with a right lateral hepatic duct. Outcome was favorable spontaneously after simple surgical drainage. The second was observed in a seven year old boy with rupture of the origin of the left hepatic duct under the falciformis. The recovery was complete after left lobectomy. Diagnosis is difficult. Sonography and CT scan were not diagnostic in the second case. Precise diagnosis and treatment require a laparotomy. These lesions resemble extrahepatic bile duct lesions which are, only exceptionally observed in children.
Soulier
Y
Y
Centre hospitalier, Montmorency.
Valayer
J
J
D000007:Abdominal Injuries / Q000150:complications*; D001646:Bile; D002648:Child; D004322:Drainage; D005260:Female; D006500:Hepatic Duct, Common / Q000293:injuries*; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000209:etiology* / Q000601:surgery; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000150:complications*
Cholépéritoine par rupture des voies biliaires intra-hépatiques lors d'un traumatisme ferme de l'abdomen. A propos de deux cas pédiatriques.