Document Detail


A bleeding tendency as the first symptom of a choledochal cyst.
MedLine Citation:
PMID:  10663855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report an 8-month-old male presenting with gingival hemorrhages and nasal bleeding as the first symptom of a choledochal cyst (CC). On physical examination, there was a large cystic mass in the right upper abdominal quadrant. Laboratory studies on admission revealed moderate liver dysfunction and a bleeding tendency due to vitamin K deficiency. After administration of 5 mg vitamin K the bleeding tendency disappeared. At laparotomy, a large CC 5 cm in diameter was found and the liver showed moderate cholestasis. The sudden onset of a bleeding tendency in infants with congenital liver or biliary-tract disease may suggest not only biliary atresia, but also CC.
Authors:
S Ono; K Tokiwa; S Aoi; N Iwai; H Nakanoin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric surgery international     Volume:  16     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2000  
Date Detail:
Created Date:  2000-03-07     Completed Date:  2000-03-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  111-2     Citation Subset:  IM    
Affiliation:
Division of Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan.
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MeSH Terms
Descriptor/Qualifier:
Choledochal Cyst / complications,  pathology*,  surgery
Epistaxis / etiology
Gingival Hemorrhage / etiology
Hemorrhage / etiology*
Humans
Infant
Male

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