title: Management of rupture of choledochal cyst.
abstract: One of the rare complications of choledochal cysts is rupture. In majority of the cases, the cause of rupture is unknown. Reconstructive surgery is the treatment of choice. We describe three patients with choledochal cyst rupture, who were admitted with acute abdomen. Diagnosis of biliary ascites with peritonitis was made in all the three patients. At surgery, two patients underwent T-tube placement, and definitive repair was done electively. One patient underwent definitive repair of ruptured choledochal cyst, but died due to septicemia. External bile drainage would be safer in emergency condition.
authors.affiliation: Department of Pediatric Surgery, Chattarpati Shahuji Maharaj Medical University, Lucknow, 226 003, India. ahmed_intezar@rediffmail.com
authors.forename: Intezar
authors.initials: I
authors.lastname: Ahmed
authors.forename: Anshuman
authors.initials: A
authors.lastname: Sharma
authors.forename: Archika
authors.initials: A
authors.lastname: Gupta
authors.forename: Naveen
authors.initials: N
authors.lastname: Chandra
authors.forename: Jiledar
authors.initials: J
authors.lastname: Rawat
authors.forename: Sarita
authors.initials: S
authors.lastname: Singh
mesh_terms: D000713:Anastomosis, Roux-en-Y; D001201:Ascites / Q000175:diagnosis; D002675:Child, Preschool; D002758:Cholangiography; D015529:Choledochal Cyst / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010538:Peritonitis / Q000175:diagnosis; D012422:Rupture, Spontaneous