• J Emerg Med · Jul 2014

    Case Reports

    An Unusual Case of an Icteric Infant with Abdominal Distention.

    • Gabriel Wardi, Paul Ishimine, Daniel Lasoff, Chao Yuan, and Colleen Campbell.
    • Department of Emergency Medicine, UC San Diego Health System, San Diego, California.
    • J Emerg Med. 2014 Jul 1;47(1):18-20.

    BackgroundJaundiced infants are uncommon in most emergency departments (EDs). Biliary rupture remains one of the more rare and less described causes of this condition.Case ReportA 5-month-old male presented to our ED with scleral icterus, increasing abdominal distention, and increased irritability. A bedside ultrasound revealed a moderate amount of ascites and further imaging suggested he had a rupture of his common bile duct. Surgical exploration confirmed this and revealed the presence of choledocholithiasis, which was the likely cause of the rupture. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Biliary rupture remains a rare but serious condition in very young patients. Emergency physicians should consider bedside ultrasound as an adjunct in undifferentiated abdominal distention or jaundice in this patient population.Copyright © 2014 Elsevier Inc. All rights reserved.

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