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Published in: Clinical Journal of Gastroenterology 5/2020

01-10-2020 | Laparotomy | Case Report

Total laparoscopic management of spontaneous biliary perforation

Authors: Lawrence Jun Leung, Marc James Henry Vecchio, Ajay Rana, Allison Behrle-Yardley, Nathalie Brewer, Whitney McBride

Published in: Clinical Journal of Gastroenterology | Issue 5/2020

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Abstract

Spontaneous biliary perforation (SBP) in pediatrics is rare and historically has been treated with laparotomy for attempted repair and cholecystectomy. In recent years, management has evolved into a conservative approach, opting for cholecystostomy and peritoneal drainage over cholecystectomy. In this case, we report the first successful conservative management of SBP using an exclusively laparoscopic approach without cholecystectomy in a pediatric patient.
Literature
1.
go back to reference Dijkstra CH. Galuistortingen in de buikholte bij een zuigeling. Maandschr Kindergeneeskd. 1932;1:409–14. Dijkstra CH. Galuistortingen in de buikholte bij een zuigeling. Maandschr Kindergeneeskd. 1932;1:409–14.
2.
go back to reference Jeanty C, Derderian SC, Hirose S, et al. Spontaneous biliary perforation in infancy: management strategies and outcomes. J Pediatr Surg. 2015;50:1137–41.CrossRef Jeanty C, Derderian SC, Hirose S, et al. Spontaneous biliary perforation in infancy: management strategies and outcomes. J Pediatr Surg. 2015;50:1137–41.CrossRef
3.
go back to reference Evans K, Marsden N, Desai A. Spontaneous perforation of the bile duct in infancy and childhood: a systematic review. J Pediatr Gastroenterol Nutr. 2010;50:677–81.CrossRef Evans K, Marsden N, Desai A. Spontaneous perforation of the bile duct in infancy and childhood: a systematic review. J Pediatr Gastroenterol Nutr. 2010;50:677–81.CrossRef
4.
go back to reference Davenport M, Betalli P, D’Antiga L, et al. The spectrum of surgical jaundice in infancy. J Pediatr Surg. 2003;38:1471–9.CrossRef Davenport M, Betalli P, D’Antiga L, et al. The spectrum of surgical jaundice in infancy. J Pediatr Surg. 2003;38:1471–9.CrossRef
5.
go back to reference Livesey E, Davenport M. Spontaneous perforation of the biliary tract and portal vein thrombosis in infancy. Pediatr Surg Int. 2008;24:357–9.CrossRef Livesey E, Davenport M. Spontaneous perforation of the biliary tract and portal vein thrombosis in infancy. Pediatr Surg Int. 2008;24:357–9.CrossRef
6.
go back to reference Goel P, Jain V, Manchanda V, et al. Spontaneous biliary perforations: an uncommon yet important entity in children. J Clin Diagn Res. 2013;7:1201–6. Goel P, Jain V, Manchanda V, et al. Spontaneous biliary perforations: an uncommon yet important entity in children. J Clin Diagn Res. 2013;7:1201–6.
7.
go back to reference Faridi SH, Aslam M, Siddiqui B, et al. Challenges in the diagnosis and management of spontaneous bile duct perforation: a case report and review of literature. J Indian Assoc Pediatr Surg. 2015;20:143–5.CrossRef Faridi SH, Aslam M, Siddiqui B, et al. Challenges in the diagnosis and management of spontaneous bile duct perforation: a case report and review of literature. J Indian Assoc Pediatr Surg. 2015;20:143–5.CrossRef
8.
go back to reference Murphy JT, Koral K, Soeken T, et al. Complex spontaneous bile duct perforation: an alternative approach to standard porta hepatis drainage therapy. J Pediatr Surg. 2013;48:893–8.CrossRef Murphy JT, Koral K, Soeken T, et al. Complex spontaneous bile duct perforation: an alternative approach to standard porta hepatis drainage therapy. J Pediatr Surg. 2013;48:893–8.CrossRef
9.
go back to reference Gobbi D, Leon FF, Gasparella P, et al. Conservative treatment of spontaneous biliary perforation. Pediatr Int. 2011;53:594–5.CrossRef Gobbi D, Leon FF, Gasparella P, et al. Conservative treatment of spontaneous biliary perforation. Pediatr Int. 2011;53:594–5.CrossRef
10.
go back to reference Kasat LS, Borwankar SS, Jain M, et al. Spontaneous perforation of the extrahepatic bile duct in an infant. Pediatr Surg Int. 2001;17:463–4.CrossRef Kasat LS, Borwankar SS, Jain M, et al. Spontaneous perforation of the extrahepatic bile duct in an infant. Pediatr Surg Int. 2001;17:463–4.CrossRef
11.
go back to reference Marshall DG, Brabyn DG, Vezina WC. Spontaneous perforation of the common bile duct in infancy detected by 99mTc HIDA scanning. Can J Surg. 1984;27:590–1. Marshall DG, Brabyn DG, Vezina WC. Spontaneous perforation of the common bile duct in infancy detected by 99mTc HIDA scanning. Can J Surg. 1984;27:590–1.
12.
go back to reference Ong CL, Wong TH, Rauff A. Acute gall bladder perforation–a dilemma in early diagnosis. Gut. 1991;32:956–8.CrossRef Ong CL, Wong TH, Rauff A. Acute gall bladder perforation–a dilemma in early diagnosis. Gut. 1991;32:956–8.CrossRef
13.
go back to reference Pereira E, Cotta MV, Yan J, Asaid M, et al. Conservative management of spontaneous bile duct perforation in infancy. J Pediatr Surg. 2012;47:1757–9.CrossRef Pereira E, Cotta MV, Yan J, Asaid M, et al. Conservative management of spontaneous bile duct perforation in infancy. J Pediatr Surg. 2012;47:1757–9.CrossRef
14.
go back to reference Badru F, Litton T, Puckett Y, et al. Spontaneous gallbladder perforation in a child secondary to a gallbladder cyst: a rare presentation and review of literature. Pediatr Surg Int. 2016;32:629–34.CrossRef Badru F, Litton T, Puckett Y, et al. Spontaneous gallbladder perforation in a child secondary to a gallbladder cyst: a rare presentation and review of literature. Pediatr Surg Int. 2016;32:629–34.CrossRef
15.
go back to reference Chardot C, Iskandarani F, De Dreuzy O, et al. Spontaneous perforation of the biliary tract in infancy: a series of 11 cases*. Eur J Pediatr Surg. 1996;6:341–6.CrossRef Chardot C, Iskandarani F, De Dreuzy O, et al. Spontaneous perforation of the biliary tract in infancy: a series of 11 cases*. Eur J Pediatr Surg. 1996;6:341–6.CrossRef
16.
go back to reference Chilukuri S, Bonet V, Cobb M. Antenatal spontaneous perforation of the extrahepatic biliary tree. Am J Obstet Gynecol. 1990;163:1201–2.CrossRef Chilukuri S, Bonet V, Cobb M. Antenatal spontaneous perforation of the extrahepatic biliary tree. Am J Obstet Gynecol. 1990;163:1201–2.CrossRef
17.
go back to reference Barnes BH, Narkewicz MR, Sokol RJ. Spontaneous perforation of the bile duct in a toddler: the role of endoscopic retrograde cholangiopancreatography in diagnosis and therapy. J Pediatr Gastroenterol Nutr. 2006;43:695–7.CrossRef Barnes BH, Narkewicz MR, Sokol RJ. Spontaneous perforation of the bile duct in a toddler: the role of endoscopic retrograde cholangiopancreatography in diagnosis and therapy. J Pediatr Gastroenterol Nutr. 2006;43:695–7.CrossRef
18.
go back to reference Stringer MD, Dhawan A, Davenport M, et al. Choledochal cysts: lessons from a 20 year experience. Arch Dis Child. 1995;73:528–31.CrossRef Stringer MD, Dhawan A, Davenport M, et al. Choledochal cysts: lessons from a 20 year experience. Arch Dis Child. 1995;73:528–31.CrossRef
19.
go back to reference Hasegawa T, Udatsu Y, Kamiyama M, et al. Does pancreatico-biliary maljunction play a role in spontaneous perforation of the bile duct in children? Pediatr Surg Int. 2000;16:550–3.CrossRef Hasegawa T, Udatsu Y, Kamiyama M, et al. Does pancreatico-biliary maljunction play a role in spontaneous perforation of the bile duct in children? Pediatr Surg Int. 2000;16:550–3.CrossRef
20.
go back to reference Banani SA, Bahador A, Nezakatgoo N. Idiopathic perforation of the extrahepatic bile duct in infancy: pathogenesis, diagnosis, and management. J Pediatr Surg. 1993;28:950–2.CrossRef Banani SA, Bahador A, Nezakatgoo N. Idiopathic perforation of the extrahepatic bile duct in infancy: pathogenesis, diagnosis, and management. J Pediatr Surg. 1993;28:950–2.CrossRef
21.
go back to reference Megison SM, Votteler TP. Management of common bile duct obstruction associated with spontaneous perforation of the biliary tree. Surgery. 1992;111:237–9. Megison SM, Votteler TP. Management of common bile duct obstruction associated with spontaneous perforation of the biliary tree. Surgery. 1992;111:237–9.
22.
go back to reference Paladugu R, Rau A, Schein M, et al. Spontaneous perforation of the hepatic duct in adults. Dig Surg. 1998;15:417–20.CrossRef Paladugu R, Rau A, Schein M, et al. Spontaneous perforation of the hepatic duct in adults. Dig Surg. 1998;15:417–20.CrossRef
23.
go back to reference Kamisawa T, Tu Y, Egawa N, et al. MRCP of congenital pancreaticobiliary malformation. Abdom Imaging. 2007;32:129–33.CrossRef Kamisawa T, Tu Y, Egawa N, et al. MRCP of congenital pancreaticobiliary malformation. Abdom Imaging. 2007;32:129–33.CrossRef
24.
go back to reference Zitsman JL. Pediatric minimal-access surgery: update 2006. Pediatrics. 2006;118:304–8.CrossRef Zitsman JL. Pediatric minimal-access surgery: update 2006. Pediatrics. 2006;118:304–8.CrossRef
25.
go back to reference Mattei P. Minimally invasive surgery in the diagnosis and treatment of abdominal pain in children. Curr Opin Pediatr. 2007;19:338–43.CrossRef Mattei P. Minimally invasive surgery in the diagnosis and treatment of abdominal pain in children. Curr Opin Pediatr. 2007;19:338–43.CrossRef
26.
go back to reference Sunil K, Gupta A, Verma AK, et al. Spontaneous common hepatic duct perforation in a child: a rare case report. Afr J Paediatr Surg. 2018;15:53–5.CrossRef Sunil K, Gupta A, Verma AK, et al. Spontaneous common hepatic duct perforation in a child: a rare case report. Afr J Paediatr Surg. 2018;15:53–5.CrossRef
27.
go back to reference Spigland N, Greco R, Rosenfeld D. Spontaneous biliary perforation: does external drainage constitute adequate therapy? J Pediatr Surg. 1996;31:782–4.CrossRef Spigland N, Greco R, Rosenfeld D. Spontaneous biliary perforation: does external drainage constitute adequate therapy? J Pediatr Surg. 1996;31:782–4.CrossRef
28.
go back to reference Sharma C, Desale J, Waghmare M, et al. A case of biliary peritonitis following spontaneous common bile duct perforation in a child. Euroasian J Hepato-Gastroenterol. 2016;6:167–9.CrossRef Sharma C, Desale J, Waghmare M, et al. A case of biliary peritonitis following spontaneous common bile duct perforation in a child. Euroasian J Hepato-Gastroenterol. 2016;6:167–9.CrossRef
29.
go back to reference Kohli S, Singhal A, Arora A, et al. Spontaneous biliary peritonitis in children. J Clin Imaging Sci. 2013;3:25.CrossRef Kohli S, Singhal A, Arora A, et al. Spontaneous biliary peritonitis in children. J Clin Imaging Sci. 2013;3:25.CrossRef
30.
go back to reference Saltzman DA, Snyder CL, Leonard A. Spontaneous perforation of the extrahepatic biliary tree in infancy. A case report. Clin Pediatr (Phila). 1990;29:322–4.CrossRef Saltzman DA, Snyder CL, Leonard A. Spontaneous perforation of the extrahepatic biliary tree in infancy. A case report. Clin Pediatr (Phila). 1990;29:322–4.CrossRef
31.
go back to reference Imanieh MH, Mowla A, Zohouri D, et al. Spontaneous perforation of the common bile duct with eosinophilia in an 18-month-old girl: a case report and review of literature. Med Sci Monit. 2006;12:31–3. Imanieh MH, Mowla A, Zohouri D, et al. Spontaneous perforation of the common bile duct with eosinophilia in an 18-month-old girl: a case report and review of literature. Med Sci Monit. 2006;12:31–3.
Metadata
Title
Total laparoscopic management of spontaneous biliary perforation
Authors
Lawrence Jun Leung
Marc James Henry Vecchio
Ajay Rana
Allison Behrle-Yardley
Nathalie Brewer
Whitney McBride
Publication date
01-10-2020
Publisher
Springer Singapore
Published in
Clinical Journal of Gastroenterology / Issue 5/2020
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-020-01122-7

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