Radiological treatment of common bile duct lithiasis in infancy.
The authors report a series of 10 infants aged from 20 days to 11 months, presenting with CBD lithiasis, explored and cured by radiological procedure. US showed BD dilatation in 9 cases, sludge in the GB in 5 and in the CBD in 2. Histological findings of cholangitis were present in 4 infants. PTC was performed by GB puncture in 6 and BD puncture in 4. There was evidence of a filling defect in CBD but no anatomical anomaly. Blackish concretions were removed through a side-holes catheter or pushed in the duodenum by washing with saline. An external drainage was left a few days to allow control cholangiogram. Three infants underwent subsequent surgery but no residual lithiasis was found. No recurrence has occurred with a follow-up ranging from 10 months to 7 years. Mechanisms of this entity are discussed.
Pariente
D
D
Clinics of Pediatrics, Centre Hospitalier de Bicetre, Le Kremlin Bicetre, France.
Bernard
O
O
Gauthier
F
F
Brunelle
F
F
Chaumont
P
P
D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011677:Punctures; D011859:Radiography; D014463:Ultrasonography