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Rare cause of ascites and jaundice in infancy: Spontaneous bile duct perforation

Spontaneous bile duct perforation (SBDP) is a rare condition in infancy. The incidence is 1.5 in 1 000 000 live births. 1 Although var-ious potential theories (congenital mural weakness of the bile duct, ischemia, distal biliary obstruction and pancreaticobiliary malunion) have been proposed for the aetiology, it is still unclear. It is a clinical challenge, due to nonspeci ﬁ c symptoms including mild jaundice, abdominal distension and acholic stools. Paracentesis is important for the diagnosis enabling early surgical intervention. Two infants with SBDP are discussed in this report.