title: Effective percutaneous transhepatic biliary drainage for cystic dilatation of the intrahepatic biliary system in biliary atresia: a case report.
abstract: We report on a 16-year old girl with postoperative biliary atresia developing cystic dilatation of the intrahepatic biliary system (CDIB) with abdominal pain, which was relieved after percutaneous transhepatic biliary drainage (PTBD). A cyst was detected in segment 4 of the liver at the age of 14 years. She developed severe right hypochondralgia, subfever and liver dysfunction. Percutaneous cholangiogram showed a solitary cyst without communication and a PTBD tube was placed within the cyst. After lavage of the cyst through PTBD, CDIB was re-communicated with the intestine and the pain was relieved with reduction of the cyst size. From this experience, PTBD may be a less invasive treatment as the first choice for non-communicating CDIB and may alleviate the symptoms when recommunication with the intestine is obtained.
authors.affiliation: Department of Pediatric Surgery, Osaka University Medical School, Suita City, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Inoue
authors.forename: T
authors.initials: T
authors.lastname: Hasegawa
authors.forename: T
authors.initials: T
authors.lastname: Kusafuka
authors.forename: T
authors.initials: T
authors.lastname: Sasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Fukui
authors.forename: A
authors.initials: A
authors.lastname: Okada
mesh_terms: D000293:Adolescent; D001656:Biliary Atresia / Q000000981:diagnostic imaging / Q000601:surgery*; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D002758:Cholangiography; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D011171:Portoenterostomy, Hepatic; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D007507:Therapeutic Irrigation