https://scholars.lib.ntu.edu.tw/handle/123456789/470048
Title: | Ischemic gallbladder perforation in a premature infant | Authors: | Lu Y.-Y. HONG-SHIEE LAI Hsieh W.-S. WEN-MING HSU |
Issue Date: | 2008 | Journal Volume: | 43 | Journal Issue: | 6 | Start page/Pages: | E31-E32 | Source: | Journal of Pediatric Surgery | Abstract: | Gallbladder perforation is an extremely rare condition in infants. We present a premature infant who had congestive heart failure and renal failure owing to complex congenital heart disease and developed gallbladder perforation at 60?days of age. The patient showed neither signs of peritonitis nor impaired liver function; however, we found bile drainage from the peritoneal dialysis tube. Emergent laparotomy revealed a 3-mm perforation with surrounding tissue necrosis over the gallbladder neck. Cholecystectomy was performed after patent common bile duct was demonstrated using intraoperative cholangiography. No stones were noted in the gallbladder. Further histologic examinations of the perforation site showed ischemic changes. There were no biliary complications after surgery. Nevertheless, the patient died of multiple organ failure at 120?days old. ? 2008 Elsevier Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-44949187555&doi=10.1016%2fj.jpedsurg.2008.02.070&partnerID=40&md5=f4f65ed3ab4d8552af064ff1cc075672 https://scholars.lib.ntu.edu.tw/handle/123456789/470048 |
ISSN: | 0022-3468 | DOI: | 10.1016/j.jpedsurg.2008.02.070 | SDG/Keyword: | indometacin; abdominal radiography; article; biliary tract drainage; case report; cholangiography; cholecystectomy; common bile duct; congestive heart failure; gallbladder perforation; heart surgery; heart ventricle septum defect; histology; human; human tissue; infant; kidney failure; laparotomy; male; patent ductus arteriosus; peritoneal dialysis; prematurity; priority journal; pulmonary valve stenosis; Abnormalities, Multiple; Apgar Score; Cesarean Section; Cholecystectomy; Emergencies; Follow-Up Studies; Gallbladder; Gestational Age; Heart Defects, Congenital; Humans; Infant, Newborn; Infant, Premature, Diseases; Ischemia; Laparotomy; Male; Risk Assessment; Rupture, Spontaneous; Treatment Outcome |
Appears in Collections: | 醫學系 |
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