title: Spontaneous biliary perforation in an infant: an unusual chronic presentation.
abstract: Spontaneous perforation of the biliary ducts is a rare disorder in infants. Early diagnosis of this entity is important because it can be treated surgically. We report on a 4-month-old child presenting with jaundice and progressive abdominal distention present since birth. Hepatobiliary scintigraphy, which was done to rule out any obstructive pathology, showed a biliary leak from the porta hepatis region leading to biliary ascites and bilateral hydroceles. Surgical exploration and intraoperative cholangiogram confirmed cystic duct perforation. Cholecystectomy and inguinal herniorrhaphy were performed. Follow-up hepatobiliary scintigraphy demonstrated complete resolution of the bile leak and hydroceles.
authors: Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors: Babu Balakrishnan
authors: BB
authors: Vijay
authors: Rakesh
authors: R
authors: Kumar
authors: Devendra K
authors: DK
authors: Gupta
authors: Muniswamy
authors: M
authors: Ragavan
authors: Tushar
authors: T
authors: Mohapatra
authors: Halanaik
authors: H
authors: Dhanpathi
authors: Sanjay
authors: S
authors: Sharma
authors: Arun
authors: A
authors: Malhotra
mesh_terms: D001649:Bile Duct Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007223:Infant; D007565:Jaundice / Q000000981:diagnostic imaging* / Q000209:etiology; D011877:Radionuclide Imaging; D035583:Rare Diseases; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging