title: Liver transplant in a child with an uncommon co-occurrence of biliary atresia and bilateral vesicoureteral reflux.
abstract: We report the clinicopathologic findings of a patient with biliary atresia associated with vesicoureteral reflux who underwent a liver transplant and nephroureterectomy simultaneously. The patient was a 22-month-old female infant born of a nonconsanguineous marriage, who was reported to be icteric from first day of life. Her antenatal history was significant for bilateral hydronephrosis. The results of a liver biopsy showed findings of biliary atresia, and the results of a radiograph showed bilateral vesicoureteral reflux. Therefore, the patient underwent a liver transplant and a right nephroureterectomy simultaneously. In the days after the operation, the patient died because of extrahepatic hematoma. In conclusion, a child having biliary atresia must remain for investigation of associated anomalies including vesicoureteral reflux.
authors.affiliation: Division of Pathology, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Emine Ebru
authors.initials: EE
authors.lastname: Deniz
authors.forename: Ayşen
authors.initials: A
authors.lastname: Terzi
authors.forename: Binnaz Handan
authors.initials: BH
authors.lastname: Özdemir
authors.forename: Nihan
authors.initials: N
authors.lastname: Haberal
authors.forename: Esra
authors.initials: E
authors.lastname: Baskın
authors.forename: Mehmet
authors.initials: M
authors.lastname: Haberal
mesh_terms: D001656:Biliary Atresia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects; D009392:Nephrectomy; D016896:Treatment Outcome; D014718:Vesico-Ureteral Reflux / Q000150:complications* / Q000175:diagnosis / Q000601:surgery