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Spontaneous perforation of the biliary system is an unusual neonatal phenomenon that
is rarely recognized at birth. To date, it has not been reported antenatally. A 16-year-old
pregnant adolescent had an ultrasonogram at 25 weeks of pregnancy that revealed ascites
in the fetus. After the infant was delivered at 32 weeks, a hepato-iminodiacetic acid
scan showed a spontaneous rupture of the common bile duct. The infant was treated
with external drainage of the biliary tree and recovered well. This case demonstrates
that spontaneous perforations of the bile ducts can occur much earlier than the usually
described 2 to 12 weeks after birth, can be diagnosed antenatally, and should be added
to the list of causes of fetal ascites.
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References
- Spontaneous perforation of the extrahepatic bile ducts and bile peritonitis in infancy.Surgery. 1974; 75: 664-673
- Non-immune fetal ascites: an appraisal of etiology and outcome -a clinical and pathology review of 35 cases.Asia Oceania J Obstet Gynaecol. 1987; 13: 287-292
Article info
Publication history
Accepted:
May 1,
1990
Received:
February 13,
1990
Identification
Copyright
© 1990 Mosby. Published by Elsevier Inc. All rights reserved.
