title: Spontaneous biliary perforation: a rare entity in late infancy and childhood.
abstract: Spontaneous perforation of the biliary tract is rare in infants & children with less than 100 cases reported in English Literature till date. We report two cases of this rare clinical entity in a 9-month-old boy and other of a 2-year old boy. Both patients presented with clinical features of acute peritonitis. Laparotomy revealed sterile biliary peritonitis with a normal cholangiogram in the infant and biliary perforation in other child. Simple drainage in the former and cholecystostomy with external biliary drainage in later resulted in a satisfactory outcome.
authors.affiliation: Department of Neonatal and Pediatric Surgery, SMS Medical College, S.P. Mother & Child Health Institute, Jaipur, India.
authors.forename: Shyam B
authors.initials: SB
authors.lastname: Sharma
authors.forename: Sharad C
authors.initials: SC
authors.lastname: Sharma
authors.forename: Vipul
authors.initials: V
authors.lastname: Gupta
mesh_terms: D001660:Biliary Tract Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008297:Male; D010538:Peritonitis / Q000209:etiology; D011859:Radiography