J Korean Assoc Pediatr Surg.
1999 Dec;5(2):126-129. 10.13029/jkaps.1999.5.2.126.
The Development of a Intrahepatic Biliary Cyst after Kasai Operation for Biliary Atresia
- Affiliations
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- 1Division of Pediatric Surgery, Department of Surgery Keimyung University Dongsan Medical Center, Taegu, Korea.
- KMID: 2422178
- DOI: http://doi.org/10.13029/jkaps.1999.5.2.126
Abstract
- A 6(1/2)-year-old girl developed recurrent cholangitis following hepatic portoenterostomy for biliary atresia. Computed tomogram showed an ovoid cyst (4.5 × 4.0 cm in size) in the left hepatic lobe and another tubular dilatation (2.0 × 0.8 cm in size) in the right hepatic lobe. Percutaneous transhepatic cholangio-drainage (PTCD) with cystogram showed an ovoid cyst in the left hepatic lobe (Tsuchida type A), measuring 6.6 × 5.0 cmin size. She became afebrile and anicteric with aid of PTCD and parenteral antibiotics. However she continued to drain 45-150 cc of bile per day via the tube for over 2 weeks. Then she successfully underwent intrahepatic cystojejunostomy with guidance of intraoperative ultrasonography. This case illustrates relapsing cholangitis caused by Tsuchida type A intrahepatic cyst, which was successfully managed with PTCD followed by internal drainage procedure.
