Hancock B J, Wiseman N E, Rusnak B W
Department of Pediatric General Surgery, St Boniface General Hospital, Winnipeg, Manitoba, Canada.
J Pediatr Surg. 1989 Oct;24(10):1071-3. doi: 10.1016/s0022-3468(89)80218-0.
A newborn twin with an antenatal diagnosis of gastroschisis underwent staged repair of the abdominal wall defect. She developed multiple fistulae due to ischemic bowel and then abdominal wall dehiscence requiring additional surgical interventions. Obstructive jaundice, first evident at 3 weeks of age, became progressively severe. A stricture of the common bile duct was diagnosed by percutaneous transhepatic cholangiography. The stricture was treated by percutaneous biliary drainage, biliary stenting, and balloon dilation of the common bile duct. These procedures, commonly used in adults for biliary decompression, may be useful alternatives to surgical intervention in infants and children with obstructive jaundice due to bile duct stricture.
一名产前诊断为腹裂的新生儿双胞胎接受了腹壁缺损的分期修复。她因肠缺血出现多处瘘管，随后腹壁裂开，需要额外的手术干预。阻塞性黄疸在3周龄时首次出现，并逐渐加重。经皮经肝胆管造影诊断为胆总管狭窄。通过经皮胆道引流、胆道支架置入和胆总管球囊扩张治疗狭窄。这些通常用于成人胆道减压的程序，对于因胆管狭窄导致阻塞性黄疸的婴幼儿可能是手术干预的有用替代方法。
