title: Spontaneous perforation of the common bile duct in infancy detected by 99mTc HIDA scanning.
abstract: Bile ascites is a rare cause of mild icterus and abdominal distension in the newborn. An indirect inguinal hernia may also occur. The authors report such a case in a 5-week-old infant. Proof was obtained by abdominal ultrasonography followed by scanning with N-(2,6-dimethyl phenyl carboxymethyl) iminodiacetic acid labelled with technetium 99m (99mTc HIDA) and paracentesis. Laparotomy was carried out at 7 weeks of age and the opening in the common bile duct was closed with excellent results.
mesh_terms: D001201:Ascites / Q000209:etiology*; D001663:Bilirubin / Q000097:blood; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries*; D006552:Hernia, Inguinal / Q000209:etiology / Q000601:surgery; D006801:Humans; D007098:Imino Acids; D007231:Infant, Newborn; D008297:Male; D011877:Radionuclide Imaging; D013667:Technetium; D019780:Technetium Tc 99m Lidofenin
chemical_list: D007098:Imino Acids; D019780:Technetium Tc 99m Lidofenin; D013667:Technetium; D001663:Bilirubin