Search Results

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.
Anti-Bacterial Agents ; Bile ; Biliary Atresia* ; Cholangitis ; Dilatation ; Drainage ; Female ; Humans ; Portoenterostomy, Hepatic ; Ultrasonography

3.Recent 9-year Experience for Biliary Atresia with Introduction of a New Ultrasonographic Diagnosis.

Woo Hyun PARK ; Soon Ok CHOI

Journal of the Korean Association of Pediatric Surgeons 2000;6(1):19-26

This paper includes our 9-year experience of 34 infants with biliary atresia with introduction of a new non-invasive diagnostic method, that is, ultrasonographic "triangular cord" (TC) sign. TC sign was defined as visualization of a triangular or a band-like echogenicity just cranial to the portal vein. Ultrasonographic TC sign seemed to be a simple, non-invasive, time-saving and useful tool in the diagnosis of biliary atresia, representing 84% sensitivity. Active bile excretion was restored in 90% of the patients who were treated between 31-60days, 78% of those between 61-90 days, and 33% of those being 91days or older. The incidence of postoperative cholangitis was 36%, and construction of antireflux valve in the Roux-en -Y loop did not affect the incidence of postoperative cholangitis (P=0.18). As for the surgical outcome, of 34 infants with biliary atresia, 23 (68%) are alive for 2-102 months period, and 12 of them are alive for more than 5 years . Five-year estimate survival by Kaplan-Meier method was 66 %.
Bile ; Biliary Atresia* ; Cholangitis ; Diagnosis* ; Humans ; Incidence ; Infant ; Portal Vein ; Ultrasonography

7.Reduction rate and influencing factors of intussusception by hydrostatic water enema under ultrasound guidance and barium enema.

Jae Heum LEE ; Soon Ok CHOI ; Woo Hyun PARK

Journal of the Korean Surgical Society 1993;44(1):137-145

1.Familiar occurence of hypertrophic pyloric stenosis in two siblings born singly.

2.The intrahepatic biliary Cyst in Biliary Atresia after Kasai Operation.

3.Recent 9-year Experience for Biliary Atresia with Introduction of a New Ultrasonographic Diagnosis.

4.Percutaneous catheter drainage of traumatic pancreatic pseudocyst in childhood.

5.Paraparesis with fracture of the thoracic spine in ankylosing spondylitis: a case report.

6.Social adjustment study for the spinal cord injuries of veterans.

7.Reduction rate and influencing factors of intussusception by hydrostatic water enema under ultrasound guidance and barium enema.

8.Comparison of platelet antibody detection methods.

9.Primary segmental volvulus of the ileum mimicking meconium plug syndrome.

10.Ultrasound measurement of pouch to perineum distance as a guide in determination of high or low imperforate anus.

Display Mode

Output Records

File Type