[Bile duct stricture in childhood. A diagnostic challenge (author's transl)].
5 cases of biliary stricture, 3 congenital, 1 malignant and 1 blunt traumatic are reported in 3 infants and 2 children. Jaundice is present in 4 patients only and is delayed in 2. Alkalin phosphatases are constantly elevated but ultrasound studies negative in 3 patients. Diagnosis was made by percutaneous cholangiography in 2 and per-operative cholangiogram in 3. Roux en Y hepaticojejunostomy is successfully performed in 4. Bile duct stricture is a rare cause of cholestatic jaundice in childhood and an even rarer sequela of blunt trauma. This series demonstrates the usefulness of percutaneous transhepatic cholangiography, more accurate than ultra-sonography in investigating cholestasis in childhood.
D002648:Child; D002758:Cholangiography / Q000379:methods*; D002763:Cholecystectomy; D002779:Cholestasis / Q000209:etiology; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging*; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging*; D003135:Common Bile Duct / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D014949:Wounds, Nonpenetrating / Q000150:complications
Sténose de voies biliaires chez l'enfant. Problèmes diagnostiques à propos de 5 observations.