Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

10 April 2006

Spontaneous perforation of the common bile duct with eosinophilia in an 18-month-oldgirl: A case report and review of literature.

Mohammad Hadi Imanieh, Ashkan Mowla, Daryoush Zohouri, Hamid Reza Forootan, Mehran Karimi

Med Sci Monit 2006; 12(4): CS31-33 :: ID: 448919

Abstract

Background: Spontaneous perforation of the common bile duct is a rare butimportant cause of jaundice in infancy, requiring prompt diagnosis and surgical intervention. First describedin 1932, fewer than 150 cases have been reported to date. Case Report: The report concerns a 18-month-oldgirl 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 onthe 3[sup]rd[/sup], 4[sup]th[/sup], and 5[sup]th[/sup] days of admission, the blood cell count revealed elevation of the eosinophilcount to 16% of total WBC. Abdominal sonography showed a moderate amount of ascitic fluid and paracentesisdemonstrated 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 anteriorwall of the junction of the cystic duct and the common bile duct. Three days after T-tube insertion andclosure of the perforation, the eosinophil count returned normal. Conclusions: Perforation of the bileduct may be considered as one of the differential diagnoses of eosinophilia. This point makes our casea unique study, worthy of being reported.

Keywords: Diagnosis, Differential, Common Bile Duct Diseases - surgery, Eosinophilia - etiology, Jaundice - etiology, Rupture, Spontaneous

0 Comments

Editorial

01 March 2023 : Editorial  

Editorial: Global Surveillance of Highly Pathogenic Avian Influenza Viruses in Poultry, Wild Birds, and Mammals to Prevent a Human Influenza Pandemic

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.939968

Med Sci Monit 2023; 29:e939968

SARS-CoV-2/COVID-19

In Press

27 Mar 2023 : Database Analysis  

Relationship Between Physical Activity and Adult Asthma Control Using NHANES 2011-2020 Data

Med Sci Monit In Press; DOI: 10.12659/MSM.939350  

27 Mar 2023 : Clinical Research  

Evaluation of the One-Hour ¹³C-Propionate Breath Test in 49 Patients from a Single Center in Japan to Detec...

Med Sci Monit In Press; DOI: 10.12659/MSM.940238  

24 Mar 2023 : Database Analysis  

Causes of Death Following Gastric Cancer Diagnosis: A Population-Based Analysis

Med Sci Monit In Press; DOI: 10.12659/MSM.939848  

22 Mar 2023 : Special report  

One Year On: Poland’s Public Health Initiatives and National Response to Millions of Refugees from Ukraine

Med Sci Monit In Press; DOI: 10.12659/MSM.940223  

Most Viewed Current Articles

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788

30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750