Levy J, Martin E C, DeFelice A, Abramson S, Altman R P, Laffey K J
Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY.
J Pediatr Surg. 1990 Dec;25(12):1264-5. doi: 10.1016/0022-3468(90)90526-f.
We report the case of a 5-year-old girl who underwent a Kasai portoenterostomy for extrahepatic biliary atresia. The conduit was exteriorized until 11 months of age. She was doing well, with stable portal hypertension until she suddenly developed jaundice, acholic stools, and bacteremia not responsive to a course of steroids and intravenous antibiotics. Suspecting obstruction at the site of the previously exteriorized anastomosis, a percutaneous cannulation of the conduit was performed. Catheterization of the conduit obstruction unkinked it and reestablished bile flow. She has remained anicteric with stable liver function.
我们报告了一名5岁女孩的病例，她因肝外胆道闭锁接受了Kasai肝门空肠吻合术。在11个月大之前，吻合口导管一直外置。她情况良好，门静脉高压稳定，直到突然出现黄疸、无胆汁粪便和菌血症，对类固醇和静脉抗生素治疗无效。怀疑先前外置吻合口处梗阻，遂对导管进行经皮插管。导管梗阻的插管解除了扭结，恢复了胆汁流动。她一直无黄疸，肝功能稳定。
