Shvets LV¹, Kucherov YuI^1,2*, Samorokovskaya MV^1,2 and Balabanov VS²

¹GBUZ "DGKB No. 9 Named After G.N. Speransky DZM", Moscow, Russia
²RNIMU Named After N.I. Pirogov of the Ministry of Health of Russia

*Shared Authorship: Kucherov YuI, 1GBUZ "DGKB No. 9 Named After G.N. Speransky DZM" and RNIMU Named After N.I. Pirogov of the Ministry of Health of Russia.

Received: January 11, 2023; Published: February 03, 2023

Abstract

Spontaneous perforation of extrahepatic bile ducts is a rare surgical disease. In childhood, this condition most often develops at the age of 6 months. The etiological causes of this condition may be blunt abdominal trauma, congenital weakness of the wall of the common bile duct, abnormal pancreato-biliary anastomosis, distal obstruction of the common bile duct, cysts of the common bile duct, increased pressure in the common bile duct. The disease is an extremely urgent condition, however, bright clinical symptoms may not be observed in patients. The purpose of this work is to present a rare clinical observation of spontaneous perforation of extrahepatic bile ducts with the development of sterile bile peritonitis, to increase the alertness of pediatric surgeons to poorly studied and rare pathology in childhood. This article discusses a clinical case of spontaneous perforation of the common hepatic duct in a 3-month-old child who underwent previous surgical treatment for esophageal atresia and distal tracheoesophageal fistula in the newborn period. The etiopathogenetic links of the developed condition in the patient are discussed in order to understand the pathophysiological mechanisms and predisposing factors, the features of its clinical manifestations, the methods of the most indicative variants of instrumental diagnostics for the verification of the disease, the choice of rational and reasonable intraoperative tactics depending on the causes of the disease, comorbid factors, the activity of the inflammatory process in the abdominal cavity, as well as the degree of sterility of the gallbladder peritonitis, the level and volume of damage to the extrahepatic bile ducts and options for surgical treatment of the disease.

Keywords: Spontaneous Perforation; Cyst of the Common Bile Duct; Extrahepatic Bile Ducts; Biliary Peritonitis

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Citation

Citation: Kucherov YuI., et al. “Spontaneous Perforation of Extrahepatic Bile Ducts in A 3-Month-Old Child". Acta Scientific Paediatrics 6.3 (2023): 03-08.

Copyright

Copyright: © 2023 Kucherov YuI., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.