Biliary atresia

Case contributed by Prasanth Vijayendran , 15 Sep 2023
Diagnosis almost certain
Changed by Arlene Campos, 21 Sep 2023
Disclosures - updated 9 Jun 2023: Nothing to disclose

Updates to Case Attributes

Presentation was changed:
progressiveProgressive yellowish discolouration of the eyes, urine, and skin all over the body.
Edit Without Moderation was set to true.
Body was changed:

biliaryBiliary atresia is a congenital anomaly in which there is a variable degree of atresia of the extrahepatic biliary ducts. with an incidence of approxapproximately 1:15000 having male prediction.

A baby with congenital atresia is normal at birth, with symptoms starting developing aboveto develop after 2 weeks to 2month2 months of age.

lessLess than 10% of cases present with syndromic in whichconditions such as polysplenia, interrupted IVC, etc..

inIn this case, the gall bladder is hypoplastic with a length of less than 19 mm, with non visualisation-visualisation of the common hepatic duct, and common bile duct, withand increased periportal signal intensity along with hepatomegaly.

overallOverall features consistent with Biliarybiliary atresia type 3 Kasai. (kasai)

  • -<p>biliary atresia is a congenital anomaly in which variable degree of atresia of the extrahepatic biliary ducts. with an incidence of approx 1:15000 having male prediction.</p><p>baby with congenital atresia is normal at birth, with symptoms starting developing above 2 weeks to 2month of age.</p><p>less than 10% of cases present with syndromic in which polysplenia, interrupted IVC, etc..</p><p>in this case, the gall bladder is hypoplastic with a length of less than 19 mm, with non visualisation of the common hepatic duct, and common bile duct, with increased periportal signal intensity along with hepatomegaly.</p><p>overall features consistent with Biliary atresia type 3. (kasai)</p>
  • +<p>Biliary atresia is a congenital anomaly in which there is a variable degree of atresia of the extrahepatic biliary ducts. with an incidence of approximately 1:15000 having male prediction.</p><p>A baby with congenital atresia is normal at birth, with symptoms starting to develop after 2 weeks to 2 months of age.</p><p>Less than 10% of cases present with syndromic conditions such as polysplenia, interrupted IVC, etc.</p><p>In this case, the gall bladder is hypoplastic with a length of less than 19 mm, with non-visualisation of the common hepatic duct and common bile duct, and increased periportal signal intensity along with hepatomegaly.</p><p>Overall features consistent with biliary atresia type 3 Kasai.</p>
Status changed from pending review to published (public).
Published At was set to 2023-09-21T23:23:28.278Z.

References changed:

  • 1. Norman Williams, Jr., P. Ronan O'Connell, Andrew W. McCaskie. Bailey and Love's Short Practice of Surgery. (2018) ISBN: 9781498796507 - <a href="http://books.google.com/books?vid=ISBN9781498796507">Google Books</a>
  • Norman Williams, Jr., P. Ronan O'Connell, Andrew W. McCaskie. Bailey and Love's Short Practice of Surgery. (2018) ISBN: 9781498796507

Updates to Study Attributes

Findings was changed:

on mrcpOn MRCP sequence, :

  • hypoplastic gallbladder with an average length measuring 1.2*0.8cm x 0.8 cm (normal length &gt;19mm;19 mm) with hepatomegaly.

  • non visualisation-visualisation of the common hepatic duct, common bile duct, intraheapticand intrahepatic duct.

  • with increased periportal echogenicity is noted. overall featurefeatures consistent with congenital biliary atresia (type 3 kasaiKasai)

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