Spontaneous perforation of choledochal cyst: A case with unusual distribution of fluid in the retroperitoneal space

Chihiro Tani; Shunsuke Nosaka; Hidekazu Masaki; Tatsuo Kuroda; Toshiroh Honna

doi:10.1007/s00247-009-1189-6

Spontaneous perforation of choledochal cyst: A case with unusual distribution of fluid in the retroperitoneal space

Chihiro Tani, Shunsuke Nosaka, Hidekazu Masaki, Tatsuo Kuroda, Toshiroh Honna

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

Images of perforated choledochal cysts typically show an intraperitoneal fluid collection. We report a case with, in addition to free intraperitoneal fluid, fluid collection in the right-side anterior pararenal and perirenal spaces. Surgery confirmed the presence of a perforation at the junction of the cystic duct and the common bile duct. This perforation may explain the biliary leakage extending into the free peritoneal space as well as into the anterior pararenal space and the hepatoduodenal ligament. Anterior pararenal and perirenal spaces communicate with the infrarenal space, and this may result in extension of the fluid into the perirenal space from the anterior pararenal space.

Original language	English
Pages (from-to)	629-631
Number of pages	3
Journal	Pediatric Radiology
Volume	39
Issue number	6
DOIs	https://doi.org/10.1007/s00247-009-1189-6
Publication status	Published - 2009 Jun
Externally published	Yes

Keywords

Child
Choledochal cyst
Perforation
Retroperitoneal space

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Radiology Nuclear Medicine and imaging

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10.1007/s00247-009-1189-6

Cite this

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title = "Spontaneous perforation of choledochal cyst: A case with unusual distribution of fluid in the retroperitoneal space",

abstract = "Images of perforated choledochal cysts typically show an intraperitoneal fluid collection. We report a case with, in addition to free intraperitoneal fluid, fluid collection in the right-side anterior pararenal and perirenal spaces. Surgery confirmed the presence of a perforation at the junction of the cystic duct and the common bile duct. This perforation may explain the biliary leakage extending into the free peritoneal space as well as into the anterior pararenal space and the hepatoduodenal ligament. Anterior pararenal and perirenal spaces communicate with the infrarenal space, and this may result in extension of the fluid into the perirenal space from the anterior pararenal space.",

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T2 - A case with unusual distribution of fluid in the retroperitoneal space

AU - Tani, Chihiro

AU - Nosaka, Shunsuke

AU - Masaki, Hidekazu

AU - Kuroda, Tatsuo

AU - Honna, Toshiroh

PY - 2009/6

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N2 - Images of perforated choledochal cysts typically show an intraperitoneal fluid collection. We report a case with, in addition to free intraperitoneal fluid, fluid collection in the right-side anterior pararenal and perirenal spaces. Surgery confirmed the presence of a perforation at the junction of the cystic duct and the common bile duct. This perforation may explain the biliary leakage extending into the free peritoneal space as well as into the anterior pararenal space and the hepatoduodenal ligament. Anterior pararenal and perirenal spaces communicate with the infrarenal space, and this may result in extension of the fluid into the perirenal space from the anterior pararenal space.

AB - Images of perforated choledochal cysts typically show an intraperitoneal fluid collection. We report a case with, in addition to free intraperitoneal fluid, fluid collection in the right-side anterior pararenal and perirenal spaces. Surgery confirmed the presence of a perforation at the junction of the cystic duct and the common bile duct. This perforation may explain the biliary leakage extending into the free peritoneal space as well as into the anterior pararenal space and the hepatoduodenal ligament. Anterior pararenal and perirenal spaces communicate with the infrarenal space, and this may result in extension of the fluid into the perirenal space from the anterior pararenal space.

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KW - Choledochal cyst

KW - Perforation

KW - Retroperitoneal space

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Spontaneous perforation of choledochal cyst: A case with unusual distribution of fluid in the retroperitoneal space

Abstract

Keywords

ASJC Scopus subject areas

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