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KMID : 0367419930360071039
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Journal of Korean Pediatric Society
1993 Volume.36 No. 7 p.1039 ~ p.1043
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A Case of Bile Peritonitis Due to Spontaneous Perforation of Choledochal Cyst in Infant
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김용기
이병찬/최우건/이병철/이경수
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Abstract
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Bile peritonitis due to spontaneous perforation of choledochal cyst is a rare disease and the etiology of spontaneous perforation is unknown in most of infant cases.
Recently, we experienced a case of bile peritonitis caused by spontaneous perforation of choledochal cyst in a 6 month-old female infant. She had progressive abdominal distention with ascites, mild jaundice and intermittent passage of acholic
stool.
Presence of bile in ascitic fluid was revealed by peritoneal tapping. Bile peritonitis from the perforation of choledochal cyst was confirmed by explorative laparotomy and operative cholangiogram.
She had discharged with good condition after choledochal cystectomy and Roux-en-Y choledochojejunostomy.
A brief review related literatures is also presented.
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