Document Detail

Antenatal spontaneous perforation of the extrahepatic biliary tree.
MedLine Citation:
PMID:  2220929     Owner:  NLM     Status:  MEDLINE    
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.
S Chilukuri; V Bonet; M Cobb
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  163     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1990-11-16     Completed Date:  1990-11-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1201-2     Citation Subset:  AIM; IM    
Department of Surgery, Michigan State University, East Lansing 48824.
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MeSH Terms
Ascites / etiology,  ultrasonography
Common Bile Duct Diseases* / surgery,  ultrasonography
Diagnosis, Differential
Fetal Diseases* / ultrasonography
Gestational Age
Infant, Newborn
Rupture, Spontaneous

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