Inflammatory Stenosis of the Whole Extrahepatic Bile Duct
in a Child: A Case Report
Takuji Todani, Yasuhiro Watanabe, Takashi Mizuguchi
Z Kinderchir 38: 400-403, 1983
A female child, 5 years and 5 months of age, who had had
longstanding obstructive jaundice with hepatic dysfunction from the age
of 6 months, underwent Y-hepaticojejunostomy according to Roux after dissection
of the entire extrahepatic duct with severe periductal fibrosis. At that
time, Iiver biopsy already showed progress to biliary cirrhosis with prominent
ductal proliferation in Glisson's triad. Although good bile drainage to
the intestine was obtained early after the operation, 2 years elapsed until
disappearance of jaundice and ascites with improvement of liver function.
The patient is now 1 3 years old and doing well with moderately impaired
liver function. No oesophageal varices have been seen by endoscopy lately.
The clinical course and data are suggestive of an abortive form of biliary
atresia.
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