RUPTURES OF THE CYSTS AND SPONTANEOUS PERFORATION OF THE EXTRAHEPATIC BILIARY DUCTS IN CHILDREN

Aspects of diagnostics and surgical tactics are cited considering literature data on the ruptures of cysts and spontaneous perforation of biliary ducts and analysis of 6 proper observations. Possible reasons, peculiarities of clinical signs and results of supplementary methods of the study are analyzed. The need for proper intraoperative revision aimed at the establishment and elimination of obstruction in the distal area of the common bile duct and usage of the differentiated approach in rupture of the cyst complicated by bile peritonitis and perforation followed by a false cyst formation is underlined. Usefulness of two-stage application of T-shaped drainage with the subsequent cystectomy and Roux-en-Y hepaticojejunostomy is confirmed.

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