Acute abdominal pain and signs of peritonitis
Because we found only an abnormal wide common bile duct and no dilatated intrahepatic ducts and no dilatated gallbladder we concluded that there was probably a choledochal cyst. We could find no other explanation for the peritoneal fluid. A puncture of the fluid showed that it was bilious fluid. Because a ruptured choledochal cyst was suspected the patient was referred to a pediatric university hospital where the patient was operated. The final diagnosis was a ruptured choledochal cyst.
References
Spontaneous rupture of extrahepatic choledochal cyst: two pediatric cases and literature review.
Arda IS, Tuzun M, Aliefendioglu D, Hicsonmez A.
Eur J Pediatr Surg. 2005 Oct;15(5):361-3. Review.
Spontaneous perforation of choledochal cyst: a study of 13 cases.
Ando K, Miyano T, Kohno S, Takamizawa S, Lane G.
Eur J Pediatr Surg. 1998 Feb;8(1):23-5.