Abstract
Abstract Spontaneous biliary perforation is a rare cause of jaundice in young children. A 3-month old girl presented to a referral facility with a history of jaundice and abdominal distension. Investigations suggested a hepatic cyst but on exploration, she was found to have bilious ascites and a sub-hepatic biloma consistent with spontaneous biliary perforation. Intraoperative cholangiogram demonstrated an intact biliary tree and normal duodenal drainage. Closed-suction drainage of the sub-hepatic collection alone led to complete resolution of symptoms.
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