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Arteriohepatic Dysplasia. I. Pitfalls in Diagnosis and Management

โœ Scribed by James Markowitz; Fredric Daum; Ellen I. Kahn; Keith M. Schneider; Henry B. So; R. Peter Altman; Harvey W. Aiges; Garth Alperstein; Mervin Silverberg

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
379 KB
Volume
3
Category
Article
ISSN
0270-9139

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โœฆ Synopsis

Differentiating intrahepatic cholestasis from extrahepatic biliary tract obstruction may be difficult. Four patients with intraoperative cholangiographic evidence of extrahepatic ductal atresia who underwent hepatoportoenterostomy are described. All were ultimately shown to have arteriohepatic dysplasia with hypoplastic but patent extrahepatic ductal systems. The difficulty in establishing an accurate diagnosis, hazards associated with hepatoportoenterostomy, and suggestions for evaluation and management are discussed.

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