Spontaneous ruptured choledochal cyst in a child presenting with bilious ascites: A case report
Keywords:
choledochal cyst, bilious ascites, ascitesAbstract
Background: Choledochal cyst is a rare congenital abnormal dilatation of the biliary tract, with the potential for premalignancy. Clinical presentations depend on the size of cyst and the age of onset. Only 2% show a triad of abdominal pain, abdominal mass and cholestasis jaundice. This pediatric case is an unusual presentation with bilious peritonitis.
Case presentation: We are reporting a 2-year-old girl, first diagnosed with choledochal cyst. She presented with progressive abdominal discomfort and abdominal distension for 13 days. Abdominal peracentesis revealed bilious ascites with infection. An exporatory laporatomy revealed gangrenous choledochal cyst with rupture. Cystectomy with Rouen-Y hepaticojejunmostomy were performed. Her clinical conditon improve after surgery.
Conclusion: The 2-year-old girl, newly diagnosed with choledochal cyst presented with bilious ascites, without previous history of jaundice, which is a rare presentation.
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