Schooler Gary R, Mavis Alisha
Department of Radiology, Duke University Medical Center, 1905 McGovern-Davison Children's Health Center, Box 3808 - DUMC, Durham, NC 27710, USA.
Department of Pediatrics, Duke University Medical Center, DUMC 102375, Hanes House Rm 370, Durham, NC 27710, USA.
Radiol Case Rep. 2018 Feb 9;13(2):415-418. doi: 10.1016/j.radcr.2018.01.025. eCollection 2018 Apr.
Cystic biliary atresia (CBA) is a relatively uncommon but clinically significant variant of biliary atresia. The presence of a cyst in the hepatic hilum on imaging in an infant with cholestasis supports the diagnosis of CBA, but can also be seen in patients with a choledochal cyst-the main differential diagnosis in patients with CBA. The reported case outlines the clinical presentation and imaging findings in a patient with surgically confirmed and treated CBA and emphasizes the importance of distinguishing CBA from choledochal cyst at diagnostic imaging given the disparate timing and type of surgical treatment necessary for successful management of these distinct entities.
囊性胆道闭锁(CBA)是胆道闭锁中一种相对不常见但具有临床意义的变异型。在患有胆汁淤积的婴儿中,影像学检查发现肝门处有囊肿支持CBA的诊断,但在胆总管囊肿患者中也可见到——CBA患者的主要鉴别诊断。该报告病例概述了一名经手术确诊并接受治疗的CBA患者的临床表现和影像学表现,并强调了在诊断性影像学检查中区分CBA与胆总管囊肿的重要性,因为成功治疗这些不同疾病所需的手术时机和手术类型不同。