Biliary Ascites Caused by a Spontaneously Ruptured Choledochal Cyst in a Child: A Case Report with Literature Review

Abstract

Choledochal cysts are a congenital anomaly of the biliary duct. The classic triad for the diagnosis of a choledochal cyst includes the presence of abdominal pain, jaundice, and a palpable mass, as well as exclusion of other causes that could result in biliary duct dilatation. Common complications of choledochal cysts include stone formation, malignant transformation, and inflammatory conditions (e.g., cholangitis and pancreatitis). We report a case of ruptured choledochal cyst, which is a rare manifestation and complication. The complication was initially managed with external drainage, followed by interval surgical excision.