Email this article 
RUPTURES OF THE CYSTS AND SPONTANEOUS PERFORATION OF THE EXTRAHEPATIC BILIARY DUCTS IN CHILDREN
- Authors: Ergashev N.S.1, Yakubov E.A.1
-
Affiliations:
- Tashkent Pediatric Medical Institute
- Issue: Vol 6, No 2 (2016)
- Pages: 13-17
- Section: Original Study Articles
- Submitted: 30.01.2017
- Published: 30.06.2016
- URL: https://rps-journal.ru/jour/article/view/245
- DOI: https://doi.org/10.17816/psaic245
- ID: 245
Cite item
Full Text
Abstract
Aspects of diagnostics and surgical tactics are cited considering literature data on the ruptures of cysts and spontaneous perforation of biliary ducts and analysis of 6 proper observations. Possible reasons, peculiarities of clinical signs and results of supplementary methods of the study are analyzed. The need for proper intraoperative revision aimed at the establishment and elimination of obstruction in the distal area of the common bile duct and usage of the differentiated approach in rupture of the cyst complicated by bile peritonitis and perforation followed by a false cyst formation is underlined. Usefulness of two-stage application of T-shaped drainage with the subsequent cystectomy and Roux-en-Y hepaticojejunostomy is confirmed.
About the authors
N. Sh. Ergashev
Tashkent Pediatric Medical Institute
Author for correspondence.
Email: noemail@neicon.ru
Россия
E. A. Yakubov
Tashkent Pediatric Medical Institute
Email: yakubov.e.a.1972@mail.ru
Россия
References
- Ашкрафт К.У., Холдер Т.М. Детская хирургия. Спб., 1996. С. 171-178.
- Иванов В.В., Чевжик В.П., Черпалюк Е.А. Случай спонтанной перфорации холедоха у новорожденного // Детская хирургия. 2005. № 2. С. 52.
- Караваева С.А., Котин А.Н., Новопольцева О.Н. и др. Спонтанная перфорация общего желчного протока с формированием псевдокисты // Российский вестник детской хирургии, анестезиологии и реаниматологии. Приложение: Труды Х Всероссийской конференции. 2012. С. 58-59.
- Doneray H., Seven B., Sepetcigil O. et al. A Predisposing Factor for Spontaneous Choledochal Cyst Perforation: Esophageal Dilatation Procedures // EAJM. 2009. April. Vol. 41. P. 59-62.
- Goel P., Jain V., Manchanda V. et al. Spontaneous Biliary Perforations: An Uncommon yet Important Entity in Children // Journal of Clinical and Diagnostic Research. 2013. June. Vol. 7. № 6. P. 1201-1206.
- Intezar A., Jile R.D., Sharma A. et al. Modified Method of T-tube Placement in Cases of Ruptured Choledochal Cyst Having Complete Loss of Anterior Wall // Saudi J. Gastroenterology. 2011. Jan. - Feb. Vol. 17. № 1. P. 77-79.
- Jain S., Jain M., Kaur D. et al. Management of Spontaneous Perforation of the Bile Duct in an Infant in a Semi-Urban Setup: A Case Report // Malays. J. Med. Sci. 2012. Jan. - Mar. Vol. 19. № 1. P. 73-75.
- Lilly J.R., Weintraub W.H., Altman R.P. Spontaneous perforation of the extrahepatic bile ducts and bile peritonitis in infancy // Surgery. 1974. Vol. 75. P. 664-673.
- Meschino M., Ochoa C.G., Alejandro R.H. Ruptured choledochal cyst: a rare presentation and unique approach to management // Hepato Biliary Surg. Nutr. 2015. Vol. 4. № 1. P. 8-12.
- Prasad S., Chui Ch.H., Low Y. Bile Duct Perforation in Children: Is it Truly Spontaneous? // Annals Academy of Medicine. 2006. December. Vol. 35. № 12. P. 905-908.
- Sarin Y.K., Singh V.P. Biliary Ascites Caused by Perforation of Choledochal Cyst // Indian Pediatrics. 1995. July. Vol. 32. P. 815-817.
- Steiner Z., Dimitrov D. Spontaneous Perforation of the Common Bile Duct Mimicking Choledochal Cyst // IMAJ. 2006. Vol. 8. P. 655-656.
- Ueno S., Hirakawa H., Yokoyama S. et al. Emergent biliary drainage for choledochal cyst // Tokai J. Exp. Clin. Med. 2005. Vol. 30. P. 1-6.
- Upadhyaya V.D., Kumar B., Singh M. et al. Spontaneous biliary peritonitis: Is bed side diagnosis possible? // African Journal of Pediatric Surgery. 2013. April - June. Vol. 10. P. 112-116.
- Yasar N.F., Yasar B., Kebapci M. Spontaneous common bile duct perforation due to chronic pancreatitis, presenting as a huge cystic retroperitoneal mass: a case report // Cases Journal. 2009. Vol. 2. P. 62-73.
Supplementary files
