title: Spontaneous perforation of the bile duct in a neonate: drainage or resection?
abstract: Spontaneous perforation of the bile duct is a rare disease, and delayed diagnosis without optimal treatment can be fatal. Abdominal drainage with or without repair of perforation seems to be adequate in most case series. We report on a 10-day-old female neonate with spontaneous perforation of the bile duct over the junction of cystic duct and common hepatic duct, who recovered uneventfully with follow-up for 3 years after receiving a single-stage operation of cholecystectomy and biliary reconstruction. Drainage only or resection of the gall bladder or bile duct should depend on the patient's clinical conditions and intraoperative findings.
authors: Department of Surgery, Fong-Yuan Hospital, Department of Health, Executive Yuan, Taiwan, ROC.
authors: Te-Zhung
authors: TZ
authors: Chen
authors: Hou-Chuan
authors: HC
authors: Chen
authors: Chia-Man
authors: CM
authors: Chou
mesh_terms: D001649:Bile Duct Diseases / Q000628:therapy*; D002763:Cholecystectomy; D004322:Drainage; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D012422:Rupture, Spontaneous