title: [Biliary peritonitis after traumatic rupture of a choledochal cyst].
abstract: Choledochal cysts are rare congenital malformations of the biliary tract. Traumatic rupture of a choledochal cyst can be misleading. An 11-year-old boy was admitted for peritonitis and intestinal occlusion after blunt abdominal trauma, evolving over 48 h. Laparotomy revealed bile ascites and a suspected duodenal perforation. After referral to our center, a CT scan showed a perforated choledochal cyst. Six months later, a complete excision of the cyst was successfully performed. This treatment is mandatory because of the risk of further complications such as lithiasis, pancreatitis, cholangitis, biliary cirrhosis, and malignant transformation (cholangiocarcinoma).
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France. Electronic address: bouali.o@chu-toulouse.fr.
authors.forename: O
authors.initials: O
authors.lastname: Bouali
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Trabanino
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: O
authors.initials: O
authors.lastname: Abbo
authors.affiliation: Service de radiologie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: L
authors.initials: L
authors.lastname: Destombes
authors.affiliation: Service de radiologie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Baunin
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Galinier
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D002648:Child; D015529:Choledochal Cyst / Q000150:complications*; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000209:etiology*; D012421:Rupture / Q000150:complications; D014949:Wounds, Nonpenetrating / Q000150:complications*