Document Detail

Spontaneous perforation of the common bile duct with eosinophilia in an 18-month-old girl: a case report and review of literature.
MedLine Citation:
PMID:  16572056     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Spontaneous perforation of the common bile duct is a rare but important cause of jaundice in infancy, requiring prompt diagnosis and surgical intervention. First described in 1932, fewer than 150 cases have been reported to date. CASE REPORT: The report concerns a 18-month-old girl who developed mild jaundice, abdominal distension, and constipation three days prior to admission. On admission, ascites and hepatomegaly were detected and the complete blood count was normal, but on the 3rd, 4th, and 5th days of admission, the blood cell count revealed elevation of the eosinophil count to 16% of total WBC. Abdominal sonography showed a moderate amount of ascitic fluid and paracentesis demonstrated biliary ascites. Hepatobiliary scintigraphy suggested leakage of bile to the abdominal cavity. Exploratory laparotomy revealed clear bilious ascitic fluid and a ruptured common bile duct at the anterior wall of the junction of the cystic duct and the common bile duct. Three days after T-tube insertion and closure of the perforation, the eosinophil count returned normal. CONCLUSIONS: Perforation of the bile duct may be considered as one of the differential diagnoses of eosinophilia. This point makes our case a unique study, worthy of being reported.
Mohammad Hadi Imanieh; Ashkan Mowla; D Zohouri; Hamid Reza Forootan; Mehran Karimi
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2006-03-28
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  12     ISSN:  1234-1010     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-05     Completed Date:  2006-06-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CS31-3     Citation Subset:  IM    
Division of Gastroenterology, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran.
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MeSH Terms
Common Bile Duct Diseases / blood,  complications,  diagnosis*,  surgery
Diagnosis, Differential
Eosinophilia / etiology
Jaundice / etiology
Rupture, Spontaneous

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