Patient underwent Kasai procedure and bilateral inguinal hernia repair.
On surgery, the liver was enlarged and had an obvious cholestatic appearance but remained soft and smooth. The gallbladder was hypoplastic. The exploration of the common bile duct showed the absence of an internal lumen, but there still seemed to be a small communication upstream confirming the diagnosis of partial biliary atresia.
Biopsy and surgical pathology confirmed biliary atresia and F3 liver fibrosis.