title: Spontaneous perforation of common bile duct in a pediatric patient: application of hepatobiliary scintigraphy.
abstract: We report a case of spontaneous biliary perforation in a 21-month old female pediatric patient with the presenting symptoms of abdominal distension, jaundice, and umbilical hernia. Hepatobiliary scintigraphy showed tracer accumulation in the peritoneal cavity. Preliminary diagnosis of spontaneous biliary perforation was confirmed during surgery. After surgical repair of the biliary leakage, the patient recovered fully. This case shows the importance of hepatobiliary scintigraphy in patients suspicious for this condition.
authors.affiliation: Pediatric Surgery Department, Sheikh Hospital, Mashhad, Iran.
authors.forename: Marjan
authors.initials: M
authors.lastname: Joodi
authors.forename: Nasim
authors.initials: N
authors.lastname: Norouzbeigi
authors.forename: Mohammad Ali Ghodsi
authors.initials: MA
authors.lastname: Rad
authors.forename: Reza
authors.initials: R
authors.lastname: Shojaeian
authors.forename: Vahid Reza Dabbagh
authors.initials: VR
authors.lastname: Kakhki
authors.forename: Ramin
authors.initials: R
authors.lastname: Sadeghi
mesh_terms: D001652:Bile Ducts / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008099:Liver / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging