Choledochal cyst and biliary atresia in the neonate: imaging findings in five cases.
| Title: | Choledochal cyst and biliary atresia in the neonate: imaging findings in five cases. |
|---|---|
| Authors: | Torrisi JM; Department of Radiology, SUNY Health Science Center, Brooklyn 11203.; Haller JO; Velcek FT |
| Source: | AJR. American journal of roentgenology [AJR Am J Roentgenol] 1990 Dec; Vol. 155 (6), pp. 1273-6. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: American Roentgen Ray Society Country of Publication: United States NLM ID: 7708173 Publication Model: Print Cited Medium: Print ISSN: 0361-803X (Print) Linking ISSN: 0361803X NLM ISO Abbreviation: AJR Am J Roentgenol Subsets: MEDLINE |
| Imprint Name(s): | Publication: : Leesburg, VA : American Roentgen Ray Society; Original Publication: Springfield, Ill., Thomas. |
| MeSH Terms: | Biliary Atresia/*complications ; Choledochal Cyst/*complications; Biliary Atresia/diagnosis ; Biliary Atresia/epidemiology ; Choledochal Cyst/diagnosis ; Choledochal Cyst/epidemiology ; Cholangiography ; Humans ; Infant, Newborn ; Radionuclide Imaging ; Retrospective Studies ; Ultrasonography |
| Abstract: | The radiologic findings in five neonates with choledochal cyst associated with extra-hepatic biliary atresia are described. All five patients (age range, 13-72 days) presented with jaundice and acholic stools. In all four patients who underwent sonographic examination, a cystic structure separate from the gallbladder representing the choledochal cyst was shown. The diagnosis of atresia of the distal common bile duct was made preoperatively in all cases by hepatobiliary scintigraphy. Diagnosis was confirmed by surgical findings and was demonstrated by intraoperative cholangiography in four cases. All patients were successfully treated with surgical intervention within 1 month from the time of diagnosis. Early detection of this rare disorder, which may be distinct from choledochal cyst found in children and adults, is important to prevent fatal complications of biliary obstruction. The combined use of sonography and hepatobiliary scintigraphy can correctly identify this subset of patients with persistent neonatal jaundice and provide valuable information for prompt surgical management. |
| Comments: | Comment in: AJR Am J Roentgenol. 1991 Sep;157(3):646. doi: 10.2214/ajr.157.3.1872253.. (PMID: 1872253) |
| Entry Date(s): | Date Created: 19901201 Date Completed: 19901227 Latest Revision: 20080215 |
| Update Code: | 20260130 |
| DOI: | 10.2214/ajr.155.6.2122679 |
| PMID: | 2122679 |
| Database: | MEDLINE |
Journal Article