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Intrahepatic biliary tract abnormalities in children with corrected extrahepatic biliary atresia. J Pediatr Gastroenterol Nutr 1985 Aug;4(4):537-41

Date

08/01/1985

Pubmed ID

4032165

DOI

10.1097/00005176-198508000-00007

Scopus ID

2-s2.0-0021885733 (requires institutional sign-in at Scopus site)   32 Citations

Abstract

Three children with surgically corrected extrahepatic biliary atresia developed recurrent cholangitis associated with bile lakes that failed to drain via the hepatoportoenterostomy. Surgical or percutaneous drainage of these cysts was followed by both resolution of the infection and spontaneous internal drainage. We postulate that the ongoing inflammatory process resulted in intrahepatic biliary obstruction, which caused cholangitis and bile cysts. Successful treatment required not only antibiotics but drainage of the bile lakes. Development of bile cysts is a new cause of recurrent cholangitis seen in extrahepatic biliary atresia.

Author List

Werlin SL, Sty JR, Starshak RJ, Glicklich M, Nathan R

Author

Steven L. Werlin MD Emeritus Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Bile
Bile Ducts
Child
Child, Preschool
Cholangitis
Cholestasis, Intrahepatic
Cysts
Humans
Liver Diseases
Male
Postoperative Complications
Radiography
Recurrence