Idiopathic biliary perforation in a 10-year-old boy.
A 10-year-old boy of African origin with AIDS and Stage IV Hodgkin's lymphoma presented with a short history of abdominal distension and bile ascites shown to be due to a perforation of his common bile duct. This was treated initially by laparotomy, external peritoneal drainage and endoscopic biliary stenting although without success. He then underwent a laparotomy and biliary diversion (Roux-en-Y hepaticojejunostomy) with satisfactory resolution of his bile duct pathology. Although the co-morbid conditions are likely to be contributory factors, biliary perforation in either disease has not been reported before.
Makin
Erica
E
Department of Paediatric Surgery, King's College Hospital, Denmark Hill, SE5 9RS London, UK.
Davenport
Mark
M
D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003137:Common Bile Duct Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*; D015897:Comorbidity; D006689:Hodgkin Disease / Q000453:epidemiology; D006801:Humans; D016483:Lymphoma, AIDS-Related / Q000453:epidemiology; D008297:Male