title: Postnatal rupture of an antenatally diagnosed choledochal cyst: first case report.
abstract: A 7-mo-old girl with an asymptomatic antenatally diagnosed choledochal cyst was referred to the regional paediatric surgical centre for advice on management. Following further radiological investigation and discussion with the supra-regional centre, a date for elective surgery was arranged. However, in the interim, she was admitted as an emergency following rupture of the cyst. She made an uneventful recovery following urgent laparotomy.
  
  
  CONCLUSIONS
  We recommend prompt paediatric surgical referral following antenatal diagnosis of a presumed choledochal cyst. Delay in surgery may permit expansion and rupture of the cyst, even after a period of asymptomatic stability.
authors.affiliation: Department of Paediatric Surgery, Bristol Children's Hospital, Bristol, UK.
authors.forename: Mohammad M F
authors.initials: MM
authors.lastname: Siddiqui
authors.forename: David
authors.initials: D
authors.lastname: Grier
authors.forename: Eleri
authors.initials: E
authors.lastname: Cusick
mesh_terms: D015529:Choledochal Cyst / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000601:surgery; D016216:Ultrasonography, Prenatal