Spontaneous resolution of extrahepatic biliary obstruction in a neonate.
A patient with spontaneous resolution of complete extrahepatic biliary obstruction shortly after the neonatal period is described. Liver biopsy prior to resolution revealed widened portal tracts and extensive fibrosis; these changes normalized following resolution. The aetiology was not established but possibilities included a choledochal cyst, localized inflammation; for example, pancreatitis, a calculus of the common bile duct or a congenital membrane. Management of this patient would have been advanced if there were a paediatric size side-viewing duodenoscope which would have diagnostic and therapeutic potentials.
Evans
J E
JE
Department of Paediatric Gastroenterology, Mater Children's Hospital, Brisbane, Queensland, Australia.
Vance
J C
JC
D002758:Cholangiography; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis; D004384:Duodenoscopy; D005260:Female; D006801:Humans; D007223:Infant; D012075:Remission, Spontaneous; D014463:Ultrasonography