PMID- 19360550
OWN - NLM
STAT- MEDLINE
DCOM- 20091027
LR  - 20090605
IS  - 1439-359X (Electronic)
IS  - 0939-7248 (Linking)
VI  - 19
IP  - 3
DP  - 2009 Jun
TI  - Endoscopic management of spontaneous perforation of a cystic duct in a 
      10-year-old child.
PG  - 194-6
LID - 10.1055/s-0029-1202253 [doi]
AB  - A 10-year-old boy presented to us with acute abdominal pain and vomiting. The 
      patient was stable on clinical examination. On ultrasound and computed tomography 
      scan of the abdomen he had persistent peritoneal collection with edematous 
      pancreas. Abdominal paracentesis revealed bile and 99m Tc HIDA (hepatobiliary 
      iminodiacetic acid) scan showed a biliary leak. A percutaneous drain was inserted 
      for collection, and endoscopic retrograde cholangiopancreatography (ERCP) was 
      performed. A spontaneous cystic duct perforation was confirmed on ERCP and a 
      biliary stent was inserted. The patient's general condition improved, his 
      percutaneous drain was removed on day 6 post ERCP and the biliary stent removed 
      after 3 months. The patient is asymptomatic and doing well at 6 months' follow 
      up. Spontaneous perforation of a cystic duct is an extremely rare condition with 
      very few reported cases in the literature. Radionuclide scanning and ERCP are 
      reliable modes for diagnosis and localization of the site of the leak. ERCP and 
      biliary stenting are successful in the management of these patients.
FAU - Jadhav, V
AU  - Jadhav V
AD  - Department of Pediatric Surgery, King Edward Memorial Hospital, Mumbai, India. 
      drvinay_jadhav@yahoo.co.in
FAU - Gupta, R
AU  - Gupta R
FAU - Parelkar, S V
AU  - Parelkar SV
FAU - Shah, H
AU  - Shah H
FAU - Gupta, A
AU  - Gupta A
FAU - Mishra, P K
AU  - Mishra PK
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20090409
PL  - United States
TA  - Eur J Pediatr Surg
JT  - European journal of pediatric surgery : official journal of Austrian Association 
      of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
JID - 9105263
SB  - IM
MH  - Bile Duct Diseases/*diagnosis/*surgery
MH  - Child
MH  - Cholangiopancreatography, Endoscopic Retrograde
MH  - Cystic Duct/*surgery
MH  - Humans
MH  - Male
MH  - Stents
MH  - Treatment Outcome
EDAT- 2009/04/11 09:00
MHDA- 2009/10/29 06:00
CRDT- 2009/04/11 09:00
PHST- 2009/04/11 09:00 [entrez]
PHST- 2009/04/11 09:00 [pubmed]
PHST- 2009/10/29 06:00 [medline]
AID - 10.1055/s-0029-1202253 [doi]
PST - ppublish
SO  - Eur J Pediatr Surg. 2009 Jun;19(3):194-6. doi: 10.1055/s-0029-1202253. Epub 2009 
      Apr 9.