March 2011

Abnormal common bile duct and peritoneal fluid

Clinical Info

Acute abdominal pain and signs of peritonitis

Ultrasound Images & Clips

Abnormal common bile duct and peritoneal fluid

Abnormal common bile duct and peritoneal fluid
Abnormal common bile duct and peritoneal fluid
Another image of the abnormal common bile duct and peritoneal fluid
Another image of the abnormal common bile duct and peritoneal fluid
videoclip of the abnormal common bile duct
Another videoclip of the abnormal common bile duct
Normal flow in the portal vein, but no flow in the dilatated common bile duct
Normal flow in the portal vein, but no flow in the dilatated common bile duct
Transverse image of the comon bile duct
Transverse image of the comon bile duct
Another transverse image of the abnormal common bile duct. There is a normal gallbladder
Another transverse image of the abnormal common bile duct. There is a normal gallbladder
There is a lot of peritoneal fluid
There is a lot of peritoneal fluid

Conclusion

Because we found only an abnormal wide common bile duct and no dilatated intrahepatic ducts and no dilatated gallbladder we concluded that there was probably a choledochal cyst. We could find no other explanation for the peritoneal fluid. A puncture of the fluid showed that it was bilious fluid. Because a ruptured choledochal cyst was suspected the patient was referred to a pediatric university hospital where the patient was operated. The final diagnosis was a ruptured choledochal cyst.

References            
Spontaneous rupture of extrahepatic choledochal cyst: two pediatric cases and literature review.
Arda IS, Tuzun M, Aliefendioglu D, Hicsonmez A.
Eur J Pediatr Surg. 2005 Oct;15(5):361-3. Review.

Spontaneous perforation of choledochal cyst: a study of 13 cases.
Ando K, Miyano T, Kohno S, Takamizawa S, Lane G.
Eur J Pediatr Surg. 1998 Feb;8(1):23-5.


Details

  • Sex: Female
  • Age: 1

Created with

  • Hitachi Ultrasound System