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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Case Reports · Vol. 2 No. 2 (2011)

Spontaneous Common Bile Duct Perforation on The Background of Pancreatic Lithiasis: A Case Report and The Review of The Literatures

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2011
CONTENTSVolume 02Number 2July 2011
Editorial
Laparoscopy in Children, A Brief Outline and Bangladesh Perspective
Md. Jafrul Hannan
42
Original Articles
Outcome of Vesiciureteric Reflux After Primary Fulguration of Posterior Urethral Valves
M. M. Masud Pervez, Kaniz Hasina, Md. Ashraf Ul Huq, Md. Nooruzzaman, Abdul Hanif
46
Post A-H Pyeloplasty Analysis of Renal Function in Unilateral Hydronephrosis Due to Congenital Pelviureteric Junction Obstruction
Nandan Kumar Majumder, Md. Ruhul Amin, Rajib Khastgir, Mizanur Rahman, Md. Abu Bakar Akan
53
Assesment of The Effect of Multimodal Preemptive Analgesia in Children
Md. Nooruzzaman, MM Masud Pervez, Md. Abu Bakar Akan, M Anisuzzaman, Md. Nazrul Islam, AM Shahinoor
56
Early Post-operative Outcome of Primary Repair of Bladder Exstrophy With or Without Osteotomy
S. M. Borhan Uddin, Md. Abu Bakar Akan, Rajib Khastgir, Md. Ruhul Amin
63
Evaluation of Congenital Upper Urinary Tract Anomalies in Hypospadias
Md. Abdullah Al Farooq, Shafiqul Hoque
68
Decreased Morbidity and Mortality from Intestinal Ascariasis: Experience of a Single Center
Md. Akbar Hossain Bhuyian, Md. Abdullah Al Farooq, Md. Minhajuddin Sajid, MA Mushfiqur Rahman, Md. Momtazul Hoque, Khurshid Alam Sarwar, Tanvir Kabir Chowdhury, Mahfuzul Kabir, Tahmina Banu
73
Case Reports
Desmoplastic Small Round Cell Tumour (DSRCT) - A Case Report and Review of Literature
AKM Amirul Morshed, Farhana Afroz, Chowdhury Md. Fuad Galib, Shahnoor Islam, Kaniz Hasina, Ashish Kumar Ghosh
79
Spontaneous Common Bile Duct Perforation on The Background of Pancreatic Lithiasis: A Case Report and The Review of The Literatures
Md. Abdullah Al Farooq, M A Mushfiqur Rahman, Mahfuzul Kabir, Md. Akbar Husain Bhuiyan, Md. Minhajuddin Sajid, Rupam Talukder, Tanvir Kabir Chowdhury, Tahmina Banu
83
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md. Abdullah Al FarooqDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • M A Mushfiqur RahmanDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • Mahfuzul KabirDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • Md. Akbar Husain BhuiyanDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • Md. Minhajuddin SajidDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • Rupam TalukderDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • Tanvir Kabir ChowdhuryDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong
  • Tahmina BanuDepartment of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong

Keywords

Spontaneous bile duct perforation Pancreatic lithiasis

Abstract

Spontaneous bile duct perforation (SBDP) is a relatively rare condition. The cause of SBDP is still speculative. Presentation, site of the perforation and management varies. Pancreatic lithiasis (PL) is a very rare entity in childhood. Biliary perforation on the background of PL is still a rare event. This is a case report of 10 years old girl presented as acute abdomen with the clinical diagnosis of acute on chronic pancreatitis, for which conservative treatment followed by laparotomy was carried out. Common bile duct (CBD) perforation was found near its junction with cystic duct. T tube was instituted and a drain was kept in situ. Postoperative period (POP) was uneventful. T Tube Cholangiogram was carried out on 12th postoperative day (POD) that showed dye had passed to duodenum easily and patency and caliber of the CBD was found normal. Multiple stones were noted in the vicinity. No apparent cause of CBD perforation was found. After one month, in follow up visit the patient was found alright. She was asked to come after 3 months for further evaluation. The plan is to evaluate the patients conditions clinically and biochemically and to do an MRCP to see details of pancreatic pathology. As SBDP in children with PL is a rare condition, high index of suspicion is needed for early diagnosis and proper management of such patient.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (2): 83–87

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