Open AccessSuccessful Late Kasai Portoenterostomy
Author(s) -
Anne Bielamowicz,
Jordan J. Weitzman,
Najeeb S. Alshak,
Philip Rosenthal
Publication year - 1992
Publication title -
journal of pediatric gastroenterology and nutrition
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 131
eISSN - 1536-4801
pISSN - 0277-2116
DOI - 10.1097/00005176-199202000-00020
Subject(s) - medicine , exploratory laparotomy , biliary atresia , extrahepatic biliary atresia , laparotomy , presentation (obstetrics) , gallbladder , general surgery , common bile duct , bile duct , biopsy , ultrasound , surgery , radiology , liver transplantation , transplantation
This article describes an infant with extrahepatic biliary atresia who underwent a successful hepatoportoenterostomy at age 132 days in spite of a delay in diagnosis. Contributing to the delay in diagnosis of this case were the lack of appreciation of alcoholic stools, the presence of a gallbladder and distal common bile duct on ultrasound examination, and insufficient biopsy material for interpretation. This case emphasizes the variability in presentation and potential difficulties in diagnosis and the need for intraoperative cholangiogram and exploratory laparotomy in such cases. An approach to the patient with extrahepatic biliary atresia who is diagnosed late is discussed. A successful outcome can be achieved for such patients.