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Spontaneous biliary perforation is a rare condition, predominantly observed in infants, characterized by the leakage of bile into the peritoneal cavity without any apparent cause. This case report discusses a 3-month-old female infant who presented with symptoms of jaundice and abdominal distension. The successful management of this case with a combination of ultrasound-guided percutaneous drainage and laparoscopic cholecystostomy is detailed, highlighting the importance of minimally invasive techniques in treating this condition. Keywords: Cholecystostomy, infant, jaundice, laparoscopy, spontaneous biliary perforation, Author(s): Tarun Gupta [1]; Ankur Mandelia (corresponding author) [1]; Rajanikant R. Yadav [2]; Tarun Kumar [1]; Nishant Agarwal [1]; Pujana Kanneganti [1]; Anju Verma [1]; Biju Nair [1]; Amit Buan [...]

Enteric duplication cysts and reversed intestinal rotation (RIR) are rare congenital anomalies, with their coexistence being exceptionally uncommon. We report a 4-year-old girl who presented with chronic anemia and intermittent abdominal symptoms since infancy. Detailed workup for medical causes of anemia was inconclusive. Computed tomography of the abdomen revealed intestinal malrotation with a grossly dilated small bowel loop. Intraoperative findings revealed a long duodenojejunal tubular duplication with a separate mesentery (Type 1a) and RIR. The patient underwent a Ladd's procedure, resection of the duplication cyst, and end-to-end anastomosis. This case underscores the anatomical rarity, varied clinical presentation, and challenges in making an accurate and timely diagnosis in such a case. Keywords: Enteric duplication cyst, reverse intestinal rotation, malrotation, anemia, Author(s): Priya Mathew [1]; Ankur Mandelia (corresponding author) [1]; Amit Buan [1]; Biju Nair [1]; Moinak Sen Sarma [2]; Pooja Prajapati [1]; Rahul Goel [1] INTRODUCTION Intestinal malrotation involves the [...]