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Case report: Retroperitoneal biliary fluid collections secondary to common bile duct rupture - an unusual complication of choledocholithiasis in a child.

Rastogi R, Rastogi V - Indian J Radiol Imaging (2008)

Bottom Line: Rupture of the common bile duct (CBD) in a child secondary to choledocholithiasis is a rare event.In this article, the authors describe a child who presented with an acute abdomen due to CBD rupture, with subsequent acute retroperitoneal fluid collections, all diagnosed preoperatively on CT scan.The aim of this article is to show the pathways that such collections can take in the retroperitoneum.

View Article: PubMed Central - PubMed

Affiliation: Yash Diagnostic Center, Yash Hospital and Research Center, Civil Lines, Kanth Road, Moradabad, UP - 244 001, India.

ABSTRACT
Rupture of the common bile duct (CBD) in a child secondary to choledocholithiasis is a rare event. In this article, the authors describe a child who presented with an acute abdomen due to CBD rupture, with subsequent acute retroperitoneal fluid collections, all diagnosed preoperatively on CT scan. The aim of this article is to show the pathways that such collections can take in the retroperitoneum.

No MeSH data available.


Related in: MedlinePlus

Transaxial contrast-enhanced CT scan shows a dilated suprapancreatic CBD (black arrow) communicating with a retroperitoneal collection (white arrow) that is surrounding the portal venous confluence
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Figure 0001: Transaxial contrast-enhanced CT scan shows a dilated suprapancreatic CBD (black arrow) communicating with a retroperitoneal collection (white arrow) that is surrounding the portal venous confluence

Mentions: CT scan of the abdomen revealed a large, loculated, retroperitoneal collection located in front of the great vessels, predominantly to the left of the midline and extending from above the level of the pancreas to the level of the lower pole of the left kidney; there was obvious communication with the extrahepatic, suprapancreatic portion of the CBD. Calculi were seen in the neck of gallbladder and in the distal part of the CBD and there was proximal biliary duct dilatation [Figures 1–6]. Minimal dilatation of the intrahepatic biliary radicles and fluid in the porta hepatis were also noted. The collection was seen surrounding the portal vein and the distal part of the splenic and superior mesenteric veins, with no intraluminal filling defects. The pancreas and rest of the abdomen were unremarkable. No evidence of ascites was noted.


Case report: Retroperitoneal biliary fluid collections secondary to common bile duct rupture - an unusual complication of choledocholithiasis in a child.

Rastogi R, Rastogi V - Indian J Radiol Imaging (2008)

Transaxial contrast-enhanced CT scan shows a dilated suprapancreatic CBD (black arrow) communicating with a retroperitoneal collection (white arrow) that is surrounding the portal venous confluence
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2747443&req=5

Figure 0001: Transaxial contrast-enhanced CT scan shows a dilated suprapancreatic CBD (black arrow) communicating with a retroperitoneal collection (white arrow) that is surrounding the portal venous confluence
Mentions: CT scan of the abdomen revealed a large, loculated, retroperitoneal collection located in front of the great vessels, predominantly to the left of the midline and extending from above the level of the pancreas to the level of the lower pole of the left kidney; there was obvious communication with the extrahepatic, suprapancreatic portion of the CBD. Calculi were seen in the neck of gallbladder and in the distal part of the CBD and there was proximal biliary duct dilatation [Figures 1–6]. Minimal dilatation of the intrahepatic biliary radicles and fluid in the porta hepatis were also noted. The collection was seen surrounding the portal vein and the distal part of the splenic and superior mesenteric veins, with no intraluminal filling defects. The pancreas and rest of the abdomen were unremarkable. No evidence of ascites was noted.

Bottom Line: Rupture of the common bile duct (CBD) in a child secondary to choledocholithiasis is a rare event.In this article, the authors describe a child who presented with an acute abdomen due to CBD rupture, with subsequent acute retroperitoneal fluid collections, all diagnosed preoperatively on CT scan.The aim of this article is to show the pathways that such collections can take in the retroperitoneum.

View Article: PubMed Central - PubMed

Affiliation: Yash Diagnostic Center, Yash Hospital and Research Center, Civil Lines, Kanth Road, Moradabad, UP - 244 001, India.

ABSTRACT
Rupture of the common bile duct (CBD) in a child secondary to choledocholithiasis is a rare event. In this article, the authors describe a child who presented with an acute abdomen due to CBD rupture, with subsequent acute retroperitoneal fluid collections, all diagnosed preoperatively on CT scan. The aim of this article is to show the pathways that such collections can take in the retroperitoneum.

No MeSH data available.


Related in: MedlinePlus