Indian Journal of Nuclear Medicine

CASE REPORT
Year
: 2011  |  Volume : 26  |  Issue : 3  |  Page : 157--158

Spontaneously ruptured choledochal cyst: Rare diagnosis on hepatic scintigraphy


Suneel Chauhan, AG Pandit, MJ Jacob, Puneet Kumar 
 Department of Nuclear Medicine, Army Hospital Research and Referral, Delhi, India

Correspondence Address:
Suneel Chauhan
Resident Nuclear Medicine, Army Hospital Research and Referral, Delhi Cantt-10
India

A 47-day-old female infant presented with congenital inguinal hernia, seizure on the 2 nd day of life, fever, progressive jaundice, acholic stools and distension of abdomen. She was suspected to have choledochal cyst with extrahepatic biliary atresia (EHBA) and referred for an Hepatobiliary Tc-99m iminodiacetic acid (HIDA) scan. On HIDA scan, a functional diagnosis of ruptured choledochal cyst was made which was not possible on anatomical imaging like ultrasound (USG)/computed tomography (CT) scan. This was supported thereafter by bilious aspirate on abdominal paracentesis. Immediate laparotomy with T-tube insertion was done. The child improved dramatically after the procedure. Biliary peritonitis secondary to cyst perforation or rupture is a rare complication reported to occur in 1-2% cases of choledochal cyst. Early diagnosis and management is the key to reduce the morbidity and mortality.


How to cite this article:
Chauhan S, Pandit A G, Jacob M J, Kumar P. Spontaneously ruptured choledochal cyst: Rare diagnosis on hepatic scintigraphy.Indian J Nucl Med 2011;26:157-158


How to cite this URL:
Chauhan S, Pandit A G, Jacob M J, Kumar P. Spontaneously ruptured choledochal cyst: Rare diagnosis on hepatic scintigraphy. Indian J Nucl Med [serial online] 2011 [cited 2020 Sep 24 ];26:157-158
Available from: http://www.ijnm.in/article.asp?issn=0972-3919;year=2011;volume=26;issue=3;spage=157;epage=158;aulast=Chauhan;type=0