Laparoscopic aided cholecystostomy as a treatment of inspissated bile syndrome.
We report a case of a newborn girl with inspissated bile syndrome (IBS) that did not respond to treatment with oral ursodeoxycholic acid (Ursofalk). A solution was found using laparoscopic aided cholecystostomy with an indwelling catheter for local Ursofalk flushing in the gallbladder and the choledochus. This is the first report of a laparoscopic aided management of IBS without cholecystectomy or exploration of the bile ducts. This minimal invasive approach showed a clear advantage for the patient. There were no complications. The method is recommended in the treatment of IBS.
Gunnarsdóttir
Anna
A
Department of Pediatric Surgery, Lund University Hospital, 221 85 Lund, Sweden. anna.gunnarsdottir@med.lu.se
Holmqvist
Peter
P
Arnbjörnsson
Einar
E
Kullendorff
Carl-Magnus
CM
D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D003135:Common Bile Duct / Q000000981:diagnostic imaging; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D013536:Suture Techniques; D013577:Syndrome; D007507:Therapeutic Irrigation