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Bile Ducts

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Liver Disease in Children

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Abstract

This is a congenital anomaly consisting of interruption of the extrahepatic bile ducts. It is the single most common cause of neonatal cholestasis and accounts for approximately half the cases in our series. The atresia may be complete (60% of cases) or partial with preservation of the gallbladder and, in some cases, of the common bile duct. The intrahepatic bile ducts have been shown to be always abnormal with a plexiform and moniliform appearance on cholangiography. The aetiology is still unknown.

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Bibliography

Biliary atresia

  • Abramson SJ, Treves S, Teele RS (1982) The infant with possible biliary atresia: evaluation by ultrasound and nuclear medecine. Pediatr Radiol 12: 1–5

    Article  PubMed  CAS  Google Scholar 

  • Brun P, Gauthier F, Boucher D, Brunelle F (1985) Ultrasound findings in biliary atresia in children. Ann Radiol 28: 259–263

    PubMed  CAS  Google Scholar 

  • Carty H, Pilling DW, Majury C (1986) 123 I BSP scanning in neonatal jaundice. Ann Radiol 29: 647–650

    Google Scholar 

  • Chaumont P, Martin N, Riou JY, Brunelle F (1982) Percutaneous transhepatic cholangiography in extrahepatic biliary duct atresia in children. Ann Radiol 25: 94–100

    PubMed  CAS  Google Scholar 

  • Ishïi K, Matsuo S, Hirayama Y et al. (1989) Intrahepatic biliary cysts after hepatic portoenterostomy in four children with biliary atresia. Pediatr Radiol 19: 471–473

    Article  PubMed  Google Scholar 

  • Kasai M, Kimura S, Asakura Y (1968) Surgical treatment of biliary atresia. J Pediatr Surg 3: 665–675

    Article  Google Scholar 

  • Laurent J, Gauthier F, Bernard O et al. (1990) Long-term outcome after surgery for biliary atresia. Gastroenterology 99: 1793–1797

    PubMed  CAS  Google Scholar 

Sclerosing Cholangitis

  • Amédée-Manesme O, Bernard O, Brunelle F et al. (1987) Sclerosing cholangitis with neonatal onset. J Pediatr 111: 225–229

    Article  PubMed  Google Scholar 

  • Craig DA, MacCarty RL, Wiesner RH et al. (1991) Primary sclerosing cholangitis: value of cholangiography in determining the prognosis. AJR 157: 959–964

    Article  PubMed  CAS  Google Scholar 

  • Garel L, Brunelle F, Fischer A, Sirinelli D, Sauvegrain J (1985) Bile duct dilatation and immunodeficiency in children. Ann Radiol 28: 249–225

    PubMed  CAS  Google Scholar 

  • Leblanc A, Hadchouel M, Jehan P, Odièvre M, Alagille D (1981) Obstructive jaundice in children with histiocytosis X. Gastroenterology 80: 134–139

    PubMed  CAS  Google Scholar 

  • Letourneau J, Day D, Hunter D et al. (1988) Biliary complications after liver transplantation in patients with preexisting sclerosing cholangitis. Radiology 167: 349–351

    PubMed  CAS  Google Scholar 

  • MacCarty R, La Russo N, Wiesner R, Ludwig J (1983) Primary sclerosing cholangitis: findings on cholangiography and pancreatography. Radiology 149: 39–44

    PubMed  CAS  Google Scholar 

  • Pariente D, Bacadi D, Schmit P (1986) Biliary tract involvement in children with histiocytosis X. Ann Radiol 29: 641–645

    PubMed  CAS  Google Scholar 

  • Sisto A, Feldman I, Carel L et al. (1987) Primary sclerosing cholangitis in children: study of five cases and review of the literature. Pediatrics 80: 918–923

    PubMed  CAS  Google Scholar 

  • Werlin S, Glicklich M, Jona J, Starshak RI (1980) Sclerosing cholangitis in childhood. J Pediatr 96: 433–435

    Article  PubMed  CAS  Google Scholar 

Choledocholithiasis

  • Avni EF, Matos C, Van Gansbeke D, Muller F (1986) Atypical gallbladder content in neonates: ultrasonic demonstration. Ann Radiol 29: 267–273

    PubMed  CAS  Google Scholar 

  • Bernstein J, Braylen R, Brough J (1969) Bile plug syndrome: a correctable cause of obstructive jaundice in infants. Pediatrics 43: 273–276

    PubMed  CAS  Google Scholar 

  • Brunelle F (1987) Cholelithiasis in children. Semin Ultrasound, CT, MR 8: 118–125

    Google Scholar 

  • Brunelle F, Descos B, Bernard O, Valayer J, Chaumont P (1983) Common bile duct calculi in infants. Ann Radiol 26: 147–153

    PubMed  CAS  Google Scholar 

  • Descos B, Bernard O, Brunelle F et al. (1984) Pigment Gallstones of the common bile duct in infancy. Hepatology 4: 678–683

    Article  PubMed  CAS  Google Scholar 

  • Haller JO, Condon VR, Berdon WE et al. (1989) Spontaneous perforation of the common bile duct in children. Radiology 172: 621–624

    PubMed  CAS  Google Scholar 

  • Holgersen LO, Stolar C, Berdon WE, Hilfer C, Levy JS (1990) Therapeutic and diagnostic implications of aquired choledochal obstruction in infancy: spontaneous resolution in three infants. J Pediatr Surg 25: 1027–1029

    Article  PubMed  CAS  Google Scholar 

  • Keller MS, Markle BM, Laffey PA et al. (1985) Spontaneous resolution in cholelithiasis in infants. Radiology 157: 345–348

    PubMed  CAS  Google Scholar 

  • Lang EV, Pinckney LE (1991) Spontaneous resolution of the bile-plug syndrome. AJR 156: 1225–1226

    Article  PubMed  CAS  Google Scholar 

  • Lilly JR (1980) Common bile duct calculi in infants and children. J Pediatr Surg 15: 577–580

    Article  PubMed  CAS  Google Scholar 

  • Man DWK, Spitz L (1985) Cholelithiasis in infancy. J Pediatr Surg 20: 65–68

    Article  PubMed  CAS  Google Scholar 

  • Pariente D, Bernard O, Gauthier F, Brunelle F, Chaumont I (1989) Radiological treatment of common bile duct lithiasis in infancy. Pediatr Radiol 19: 104–107

    Article  PubMed  CAS  Google Scholar 

Choledochal Cyst

  • Babbitt DD (1969) Congenital Choledochal cyst. New etiological concept based on anomalous relationships of the common bile duct and pancreatic duct. Ann Radiol 12: 231–240

    PubMed  CAS  Google Scholar 

  • Bass EM, Cremin BJ (1976) Choledochal cysts: a clinical and radiological evaluation of 21 cases. Pediatr Radiol 5: 81–85

    Article  PubMed  CAS  Google Scholar 

  • Caroli J (1973) Disease of the intrahepa tic biliary tree. Clin Gastroenterol 2: 147–161

    PubMed  CAS  Google Scholar 

  • Jequier S, Capusten B, Guttman F (1984) Childhood choledochal cyst with intrahepatic enlarged cyst-like bile ducts. J Can Assoc Radiol 35: 73–76

    PubMed  CAS  Google Scholar 

  • Reddy KR, Gordon SC, Jeffers LJ (1985) Choledochocele: its clinical spectrum. Gastroenterology 88: 1093–1098

    PubMed  CAS  Google Scholar 

  • Savader SJ, Benenati JF, Venbrux AC et al. (1991) Choledochal cysts: classification and cholangiographic appearance. AIR 156: 327–331

    CAS  Google Scholar 

  • Schroeder D, Smith L, Crichton Pain H (1989) Antenatal diagnosis of choledochal cyst at 15 weeks’ gestation: etiologic implications and management. J Pediatr Surg 24: 936–938

    Article  PubMed  CAS  Google Scholar 

  • Suarez F, Bernard O, Gauthier F, Valayer J, Brunelle F (1987) Biliopancreatic common channel in childhood. Pediatr Radiol 17: 206–211

    Article  PubMed  CAS  Google Scholar 

Ductular Hypoplasia

  • Alagille D, Estrada A, Hadchouel M et al. (1987) Syndromic paucity of interlobular bile ducts (Alagille syndrome or arteriohepatic dysplasia): a review of 80 cases. J Pediatr 110: 195–200

    Article  PubMed  CAS  Google Scholar 

  • Alagille D, Odièvre M, Gautier M, Dommergues JP (1975) Hepatic ductular hypoplasia associated with characteristic facies, vertebral malformations, retarded physical, mental and sexual developmental and cardiac murmur. Pediatrics 86: 63–71

    Article  CAS  Google Scholar 

  • Brunelle F, Estrada A, Dommergues JP, Bernard O, Chaumont P (1986) Skeletal anomalies in Alagillé s syndrome. Radiographic study in eighty cases. Ann Radiol 29: 687–690

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Service de Radiologie, Hôpital des Enfants Malades, 149 rue de Sevres, 75743, Paris Cedex 15, France

    Francis Brunelle (Professor of Radiology)

  2. Service de Radiopediatrie, Hôpital de Bicetre, 78 rue du Gal Leclerc, 94270, Le Kremlin Bicetre, France

    Danièle Pariente MD (Chef de Service) & Pierre Chaumont MD (Consultant, former Chef de Service)

Authors
  1. Francis Brunelle
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  2. Danièle Pariente MD
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  3. Pierre Chaumont MD
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© 1994 Springer-Verlag London

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Brunelle, F., Pariente, D., Chaumont, P. (1994). Bile Ducts. In: Liver Disease in Children. Springer, London. https://doi.org/10.1007/978-1-4471-3822-8_5

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  • DOI: https://doi.org/10.1007/978-1-4471-3822-8_5

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3824-2

  • Online ISBN: 978-1-4471-3822-8

  • eBook Packages: Springer Book Archive

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