Sideeka Nafisa, Shaikh Raja, Chaudry Gulraiz
Division of Vascular and Interventional Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USA.
Case Rep Radiol. 2020 Jul 31;2020:8816599. doi: 10.1155/2020/8816599. eCollection 2020.
Inspissated bile syndrome is a rare cause of cholestatic jaundice in infancy, occurring due to obstruction of the biliary ducts and gallbladder by biliary sludge. Traditional methods of treatment include surgical drainage or cholecystostomy drain placement. Both can be associated with complications and prolonged admission. We present 2 cases treated with a single percutaneous needle puncture of the gallbladder followed by saline lavage. Two neonates presented with cholestatic jaundice and sonographic evidence of biliary sludge and dilation of the common bile duct. Single sonographic-guided needle puncture of the gallbladder was followed by irrigation with saline. Clearing of the biliary sludge was confirmed by sonography and cholecystocholangiography. There was resolution of the cholestatic jaundice, with no complications or repeat procedures.
浓缩胆汁综合征是婴儿期胆汁淤积性黄疸的一种罕见病因，由胆泥阻塞胆管和胆囊所致。传统治疗方法包括手术引流或放置胆囊造瘘引流管。这两种方法都可能伴有并发症且住院时间延长。我们报告2例通过经皮单针穿刺胆囊并随后进行盐水灌洗治疗的病例。两名新生儿出现胆汁淤积性黄疸，超声检查有胆泥及胆总管扩张的证据。在超声引导下对胆囊进行单针穿刺，随后用盐水冲洗。通过超声检查和胆囊胆管造影证实胆泥已清除。胆汁淤积性黄疸消退，无并发症且无需重复操作。
