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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer-Verlag

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DOI

10.1002/prot.22627

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1437-9813

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Spontaneous perforation of the biliary tract and p

Authors: Emily Livesey Mark Davenport
Publish Date: 2007/07/17
Volume: 24, Issue: 3, Pages: 357-359
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Abstract

Spontaneous biliary perforation SBP is an uncommon cause of surgical jaundice in the first few weeks of life and is characterised by the occurrence of a punchedout defect in the bile duct typically where the cystic duct joins the common hepatic duct In most cases the site occurs anteriorly and bile leaks into the general peritoneal cavity We now describe two cases of SBP where the perforation occurred posteriorly limiting the leak and resulting in delayed recognition Surgical management in both cases consisted of hepaticojejunostomyenRoux Both cases were complicated although not immediately by portal vein thrombosis and one by chylous ascites Posterior SBP presumably due to their intimate anatomical relation with the portal vein seem predisposed to such complications

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  12. The impact of iatrogenic gastroschisis on pulmonary maturation in the fetal rabbit models of congenital diaphragmatic hernia
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