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  • 1
    Electronic Resource
    Electronic Resource
    Spontaneous perforation of the extrahepatic biliary tract in infancy and childhood (1986)
    Springer
    Pediatric surgery international 1 (1986), S. 206-209 
    Details
    ISSN: 1437-9813
    Keywords: Spontaneous perforation ; Bile ducts ; Infancy ; Literature review
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Spontaneous perforation of the extrahepatic biliary tract in infancy and early childhood is a poorly understood and infrequently reported disorder of unknown etiology. The reported experience with 77 operative cases is reviwed. The onset is generally insidious, but may be acute in 25% of cases. The major symptoms are abdominal distention and jaundice. The younger the patient at the time of onset, the more likely is jaundice to be found. Drainage-type operations were most commonly used in the early reported cases while more recently anastomosis/bypass procedures have predominated due to the relatively frequent occurrence of distal biliary tract obstruction. This disorder appears to be a part of the biliary atresia — neonatal hepatitis — choledochal cyst complex which occurs in the neonatal period and early infancy and appears to be acquired rather than congenital. Because of the theoretical potential for late malignancy, lifelong follow-up with periodic evaluation of the intra- and extrahepatic biliary tracts is recommended. The advisability of liver transplantation (and accompanying immunosuppression) as the primary surgical treatment for biliary atresia may be questioned.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00177147
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Midgut non-rotation with a large, dumb-bell-shaped, abscessed, air-containing right paraduodenal hernia in early childhood (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 149-151 
    Details
    ISSN: 1437-9813
    Keywords: Midgut non-rotation ; Right paraduodenal hernia ; Abscessed hernia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 3-year-old boy with a history of recurrent episodes of abdominal pain and vomiting, a prior history of intra-abdominal sepsis (amoebiasis), and marked retroperitoneal mesenteric lymphadenopathy on ultrasound was admitted to the hospital because of severe abdominal pain of 2 days' duration associated with fever, nausea, and vomiting. His abdomen was distended and tender and a plain X-ray film revealed a large, dumb-bell-shaped double bubble in the mid-upper abdomen. A barium enema showed non-rotation of the colon with the cecum in the left upper quadrant. At operation, a large, dumbbell-shaped right paraduodenal hernia filled with air and pus was found, but no intestine. The body of the duodenum crossed the hernia and gave it its dumb-bell shape. The hernia/abscess was opened and drained. Penrose drains were left in the abscessed area and the margin of the hernia sac that contained the superior mesenteric artery was closed around the drains with care. The postoperative course was uneventful with no recurrence of symptoms.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00183927
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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