The intrahepatic biliary Cyst in Biliary Atresia after Kasai Operation.
- Author:
Woo Hyun PARK
;
Soon Ok CHOI
- Publication Type:Original Article
- Keywords:
Biliary atresia;
Cholangitis;
Intrahepatic cyst
- MeSH:
Anti-Bacterial Agents;
Bile;
Biliary Atresia*;
Cholangitis;
Dilatation;
Drainage;
Female;
Humans;
Portoenterostomy, Hepatic;
Ultrasonography
- From:Journal of the Korean Association of Pediatric Surgeons
1999;5(2):126-129
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 6(1/2)-year-old girl developed recurrent cholangitis following hepatic portoenterostomy for biliary atresia. Computed tomogram showed an ovoid cyst (4.5 x 4.0 cm in size) in the left hepatic lobe and another tubular dilatation (2.0 x 0.8 cm in size) in the right hepatic lobe. Percutaneous transhepatic cholangio-drainage (PTCD) with cystogram showed an ovoid cyst in the left hepatic lobe (Tsuchida type A), measuring 6.6 x 5.0 cmin size. She became afebrile and anicteric with aid of PTCD and parenteral antibiotics. However she continued to drain 45-150 cc of bile per day via the tube for over 2 weeks. Then she successfully underwent intrahepatic cystojejunostomy with guidance of intraoperative ultrasonography. This case illustrates relapsing cholangitis caused by Tsuchida type A intrahepatic cyst, which was successfully managed with PTCD followed by internal drainage procedure.