title: An infant with biliary ascites.
abstract: Biliary ascites in children due to perforation of bile duct is a rare entity. The exact pathogenesis is not known but there are proposed mechanisms including congenital weakness of ductal wall, pancreaticobiliary malunion, tuberculosis, necrotizing enterocolitis and rupture of choledochal cyst. Presentation may be acute or sub-acute. Progressive insidious course is the common presentation in children with jaundice, clay colored stool, abdominal distension with slightly elevated liver enzymes but well documented cholestasis. Clinical suspicion with ultrasound, CT, MRCP and ascitic tap provides clue to the diagnosis. Both conservative and surgical interventions are in practice for managing these children. We report a 7 months old infant with biliary ascites due to perforation of bile duct.
authors.affiliation: Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Anjum
authors.initials: A
authors.lastname: Saeed
authors.affiliation: Department of Pediatrics, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: El Mouzan
authors.affiliation: Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Asaad
authors.initials: A
authors.lastname: Assiri
authors.affiliation: Department of Pediatrics, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Alsarkhy
authors.affiliation: Department of Pediatrics, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Kashif
authors.initials: K
authors.lastname: Majeed
mesh_terms: D001201:Ascites / Q000150:complications / Q000601:surgery*; D001660:Biliary Tract Diseases / Q000150:complications; D003135:Common Bile Duct / Q000002:abnormalities; D006801:Humans; D007223:Infant; D007565:Jaundice / Q000209:etiology*; D007813:Laparotomy; D008297:Male; D010538:Peritonitis / Q000209:etiology; D012422:Rupture, Spontaneous / Q000150:complications*; D016896:Treatment Outcome