Pre-operative Non-Invasive Imaging for Neonatal Cholestasis in a Child with Extrahepatic Biliary Atresia
https://doi.org/10.47836//mjmhs18.4.32
- Author:
Siti Lenggogeni Zainal Rain Rancis
1
;
Jazilah Abd Rahim
1
;
Noor Khairiah A. Karim
2
Author Information
1. Department of Nuclear Medicine, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, 80100 Johor Bahru, Johor, Malaysia
2. Department of Biomedical Imaging, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Pulau Pinang, Malaysia
- Publication Type:Journal Article
- Keywords:
Hepatobiliary scintigraphy, Neonatal Cholestasis, Extrahepatic Biliary Atresia
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.4):227-229
- CountryMalaysia
- Language:English
-
Abstract:
Hepatobiliary iminodiacetic acid (HIDA) scintigraphy is a non-invasive, functional imaging of the hepatobiliary system that serves as an adjunct imaging modality for neonatal cholestasis work-up. In view of the urgency to diagnose
biliary atresia and restore bile flow through surgery, HIDA scintigraphy could help to distinguish between neonatal
cholestasis due to biliary atresia and neonatal hepatitis of various causes. We describe a full-term male infant with
jaundice beyond the physiological period in which HIDA scintigraphy showed absent tracer excretion from the
biliary system into the intestines up to 5 hours on follow-up imaging. The intraoperative diagnosis confirmed the
diagnosis of biliary atresia. The prognosis of the patient with biliary atresia depends on early surgical planning and
intervention. Therefore, non-invasive diagnostic tools play an important role in the evaluation of a child with neonatal cholestasis.
- Full text:11.2022my1320.pdf
