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14 Case report Paediatric infant presenting with an atypical spontaneous biliary perforation Adam Ofri and Ashish Jiwane Spontaneous biliary perforation (SBP) is a life-threatening girl presenting with a biloma. Ann Pediatr Surg 10:14–16 condition. Although rare, it is the second most common 2014 Annals of Pediatric Surgery. surgical cause of jaundice in infancy after biliary atresia. Annals of Pediatric Surgery 2014, 10:14–16 SBP is theorized to occur due to a localized injury to the Keywords: biloma, paediatric, spontaneous biliary perforation, surgery embryological developing biliary tree, predominantly at the junction of the cystic and the common ducts. The Department of Surgery, Sydney Children’s Hospital, 4/70-72 Perouse Road, Randwick, NSW 2031, Australia weakness usually develops on the anterior wall of the junction of the common and the cystic ducts. Insults to Correspondence to Adam Ofri, MBBS, Department of Surgery, Sydney Children’s Hospital, 4/70-72 Perouse Road, Randwick, NSW 2031, Australia the wall, such as from infection, trauma or increased Tel: + 61 438 801 104; fax: + 61 2 93821787; e-mail: adamofri@gmail.com biliary pressure, can subsequently lead to perforation. Received 21 April 2013 accepted 26 October 2013 We report a case of an atypical SBP in a 3-week-old Introduction Laparotomy was planned
Annals of Pediatric Surgery – Wolters Kluwer Health
Published: Jan 1, 2014
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