Bile duct stricture in childhood. a diagnostic challenge
Chapoy, P.; Lagier, P.; Ament, M.; Derlon, S.; Aubrespy, P.; Louchet, E.
Chirurgie Pediatrique 23(2): 97-103
1982
ISSN/ISBN: 0180-5738 PMID: 7074725 Document Number: 188417
5 cases of biliary stricture, 3 congenital, 1 malignant and 1 blunt traumatic are reported in 3 infants and 2 children. Jaundice is present in 4 patients only and is delayed in 2. Alkalin phosphatases are constantly elevated but ultrasound studies negative in 3 patients. Diagnosis was made by percutaneous cholangiography in 2 and per-operative cholangiogram in 3. Roux en Y hepaticojejunostomy is successfully performed in 4. Bile duct stricture is a rare cause of cholestatic jaundice in childhood and an even rarer sequela of blunt trauma. This series demonstrates the usefulness of percutaneous transhepatic cholangiography, more accurate than ultra-sonography in investigating cholestasis in childhood.