Multiple orifices and cholangiography with a “fire-like” appearance after Kasai hepatoportoenterostomy for biliary atresia

Kensuke Yokoyama, Hisashi Hatanaka, Mikihiro Inoue, Tomonori Yano, Norikatsu Numao, Jun Ushio, Alan Kawarai Lefor, Kiichi Tamada, Hironori Yamamoto

Research output: Contribution to journalArticlepeer-review

Abstract

A 21-year-old female underwent a Kasai hepatoportoenterostomy with Roux-en-Y reconstruction for typeIII biliary atresia at age 63 days. At the age of 19 years, she developed cholangitis and CT scan revealed hepatolithiasis. She presented for treatment of the intrahepatic stone and the hepatportoenterostomy was directly visualized with double-balloon endoscopy (DBE). Endoscopic findings showed multiple intrahepatic bile ducts open to the jejunum through multiple orifices. Cholangiography showed narrowing of intrahepatic bile duct branches with a “fire-like” appearance. These findings have not been previously reported, since endoscopic approaches to patients with a hepaticojejunostomy were limited. DBE was useful to directly visualize the anastomosis in a patient status-post the Kasai operation for biliary atresia with a Rouxen-Y reconstruction.

Original languageEnglish
Pages (from-to)1574-1576
Number of pages3
JournalJournal of Pediatric Surgery
Volume51
Issue number9
DOIs
Publication statusPublished - 01-09-2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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