Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report
6 p.
- Autores:
-
Beltrán Joan, Marcela
Niño Tovar, María Azucena
León Martínez, Jenifer
Cruz Hernández, Mónica
Alvarado Socarras, Jorge Luis
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2017
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/3200
- Acceso en línea:
- https://repositorio.udes.edu.co/handle/001/3200
- Palabra clave:
- Perforación espontánea del conducto biliar
Peritonitis biliar
Recién nacidos
Spontaneous perforation of the bile duct
Bile peritonitis
Newborns
- Rights
- openAccess
- License
- Derechos Reservados - Sociedad Chilena de Pediatría, 2017
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Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| dc.title.alternative.spa.fl_str_mv |
Perforación espontánea de la vía biliar en un neonato: Un hallazgo inesperado. Caso clínico |
| title |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| spellingShingle |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report Perforación espontánea del conducto biliar Peritonitis biliar Recién nacidos Spontaneous perforation of the bile duct Bile peritonitis Newborns |
| title_short |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| title_full |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| title_fullStr |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| title_full_unstemmed |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| title_sort |
Spontaneous perforation of the bile duct in a neonate. An unexpected finding. Case report |
| dc.creator.fl_str_mv |
Beltrán Joan, Marcela Niño Tovar, María Azucena León Martínez, Jenifer Cruz Hernández, Mónica Alvarado Socarras, Jorge Luis |
| dc.contributor.author.spa.fl_str_mv |
Beltrán Joan, Marcela Niño Tovar, María Azucena León Martínez, Jenifer Cruz Hernández, Mónica Alvarado Socarras, Jorge Luis |
| dc.subject.proposal.spa.fl_str_mv |
Perforación espontánea del conducto biliar Peritonitis biliar Recién nacidos Spontaneous perforation of the bile duct Bile peritonitis Newborns |
| topic |
Perforación espontánea del conducto biliar Peritonitis biliar Recién nacidos Spontaneous perforation of the bile duct Bile peritonitis Newborns |
| description |
6 p. |
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2017 |
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2017 |
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2019-06-25T15:56:41Z |
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2019-06-25T15:56:41Z |
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10.4067/S0370-41062017000500014 |
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0370-4106 |
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https://repositorio.udes.edu.co/handle/001/3200 |
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eng |
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eng |
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Revista Chilena de pediatría |
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Derechos Reservados - Sociedad Chilena de Pediatría, 2017 |
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Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) |
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Derechos Reservados - Sociedad Chilena de Pediatría, 2017 Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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application/pdf |
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Beltrán Joan, Marcela8bbf2c3f-abf3-4145-9474-ee294f1059db-1Niño Tovar, María Azucena5a81b613-5810-482d-8ade-971ceca57202-1León Martínez, Jeniferee294f6e-5370-4bce-8795-b7728a6e8945-1Cruz Hernández, Mónica557fa0ac-361b-4b51-acd2-20413e4d06b2-1Alvarado Socarras, Jorge Luisc8334e39-160f-4211-bbf7-6c545a557a05-12019-06-25T15:56:41Z2019-06-25T15:56:41Z20176 p.La perforación espontánea de la vía biliar extrahepática es rara en recién nacidos. Es una causa quirúrgica de ictericia en este período y la presentación aguda es inusual. Objetivo: presentar un caso de perforación espontanea de la vía biliar en un recién nacido por sus graves complicaciones si no se realiza un diagnóstico temprano y oportuno. Caso clínico: Recién nacido de término de 10 días de vida que consultó por cuadro de rechazo alimentario, fiebre y distensión abdominal de 2 días de evolución, sin ictericia, acolia, ni coluria. En los exámenes de laboratorio se encontró leucopenia, trombocitosis y elevación de la proteína C reactiva, con función hepática normal. La radiografía de abdomen demostró neumoperitoneo, sospechándose enterocolitis necrosante, se realizó laparotomía, encontrándose perforación espontánea de la vía biliar extrahepática y peritonitis biliar. La colangiografía intraoperatoria demostró la vía biliar proximal rescatable y conducto cístico dilatado. Se realizó hepático-yeyunostomía con Y de Roux transmesocolónica y colecistectomía. En el estudio postoperatorio se encontró trombosis portal, por lo que recibió tratamiento anticoagulante. En el control a los ocho meses de edad, la paciente tenía buena tolerancia oral y adecuado incremento ponderal. Conclusiones: La perforación biliar es una entidad rara y más en el período neonatal, condición que la vuelve un reto diagnóstico y terapéutico. El pronóstico dependerá de la intervención temprana y los hallazgos intraoperatorios.Spontaneous extrahepatic bile duct perforation is rare in newborns. It is a surgical cause of jaundice in this period and the acute presentation is unusual. Objective: To report a case of spontaneous bile duct perforation in a newborn due to its serious complications if an early and timely diagnosis is not performed. Clinical case: A 10-day-old newborn who developed food rejection, fever and abdominal distension without jaundice, acolia, or coluria two days prior of admission. The laboratory tests showed leukopenia, thrombocytosis, increased C-reactive protein, and normal hepatic function. The abdominal x-ray showed pneumoperitoneum, and the diagnosis of necrotizing enterocolitis was made. Laparotomy was performed; extrahepatic bile duct perforation and biliary peritonitis were noted. Intraoperative cholangiography demonstrated rescatable proximal bile duct and dilated cystic duct. Hepatic-jejunostomy was performed with Roux-en-Y and cholecystectomy. In the postoperative study portal thrombosis was found, so he received anticoagulant treatment. At 8 months of age, the patient had enteral feeding tolerance and adequate weight gain. Conclusions: Biliary perforation is a rare entity and more in the neonatal period, a condition that makes it a diagnostic and therapeutic challenge. The prognosis will depend on early intervention and intraoperative findings.application/pdf10.4067/S0370-410620170005000140370-4106https://repositorio.udes.edu.co/handle/001/3200engRevista Chilena de pediatríaDerechos Reservados - Sociedad Chilena de Pediatría, 2017info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062017000500014Perforación espontánea del conducto biliarPeritonitis biliarRecién nacidosSpontaneous perforation of the bile ductBile peritonitisNewbornsSpontaneous perforation of the bile duct in a neonate. An unexpected finding. Case reportPerforación espontánea de la vía biliar en un neonato: Un hallazgo inesperado. 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