Subdural hemorrhage as a first symptom in an infant with a choledochal cyst: case report

J Neurosurg Pediatr. 2012 Apr;9(4):414-6. doi: 10.3171/2011.12.PEDS11279.

Abstract

Choledochal cysts are not rare in East Asia. The classic symptoms of these cysts are intermittent abdominal pain, jaundice, and a right upper quadrant abdominal mass. The authors report the case of an infant with a choledochal cyst presenting with intracranial hemorrhage. This 2-month-old girl with a partial coma presented at the authors' hospital. A brain CT scan revealed right-sided subdural hemorrhage. The routine preoperative survey found coagulopathy. After correcting the bleeding disorder, an emergency craniectomy was performed. Further examination found a choledochal cyst during abdominal ultrasonography and CT. Choledochal cysts are a cause of neonatal cholestasis but rarely produce vitamin K deficiency bleeding.

Publication types

  • Case Reports

MeSH terms

  • Choledochal Cyst / complications*
  • Choledochal Cyst / diagnosis*
  • Choledochal Cyst / diagnostic imaging
  • Coma / etiology
  • Craniotomy*
  • Emergency Treatment / methods
  • Female
  • Hematoma, Subdural / diagnostic imaging
  • Hematoma, Subdural / etiology*
  • Humans
  • Infant
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Vitamin K Deficiency Bleeding / complications*
  • Vitamin K Deficiency Bleeding / diagnosis*