TY - JOUR
T1 - Choledochal cyst and biliary atresia in the neonate
T2 - Imaging findings in five cases
AU - Torrisi, J. M.
AU - Haller, J. O.
AU - Velcek, F. T.
PY - 1990
Y1 - 1990
N2 - The radiologic findings in five neonates with choledochal cyst associated with extrahepatic 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.
AB - The radiologic findings in five neonates with choledochal cyst associated with extrahepatic 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.
UR - http://www.scopus.com/inward/record.url?scp=0025694779&partnerID=8YFLogxK
U2 - 10.2214/ajr.155.6.2122679
DO - 10.2214/ajr.155.6.2122679
M3 - Article
C2 - 2122679
AN - SCOPUS:0025694779
SN - 0361-803X
VL - 155
SP - 1273
EP - 1276
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
IS - 6
ER -