Neonatal sepsis presenting as a choledochal cyst.
We report a case of a neonate who presented with Klebsiella sepsis and a fusiform dilation of the common bile duct on ultrasound suspected to be a choledochal cyst type Ia. In addition, a biliary sludge was noted in the gallbladder. All findings resolved with resolution of the sepsis. We discuss the case and review the literature regarding the association of sepsis with cholestasis and biliary sludge.


CONCLUSIONS
we suggest that in any case of sepsis presenting as a choledochal cyst, it is essential to repeat the ultrasound after complete recovery before a surgery is planned.
Shaoul
Ron
R
Department of Pediatrics, Bnai Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel. shaoul_r@012.net.il
Sukhotnik
Igor
I
Toubi
Aurora
A
D015529:Choledochal Cyst / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D007231:Infant, Newborn; D007710:Klebsiella Infections / Q000175:diagnosis*; D008297:Male; D014463:Ultrasonography