Chapoy P, Lagier P, Ament M, Derlon S, Aubrespy P, Louchet E
Chir Pediatr. 1982 Mar-Apr;23(2):97-103.
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.
报告了3例婴儿和2例儿童中的5例胆管狭窄病例，其中3例为先天性，1例为恶性，1例为钝性创伤性。仅4例患者出现黄疸，其中2例出现延迟。碱性磷酸酶持续升高，但3例患者超声检查结果为阴性。2例通过经皮胆管造影术、3例通过术中胆管造影术确诊。4例成功进行了Roux-en-Y肝空肠吻合术。胆管狭窄是儿童胆汁淤积性黄疸的罕见病因，更是钝性创伤罕见的后遗症。本系列病例表明经皮肝穿刺胆管造影术在儿童胆汁淤积症检查中比超声检查更有用。
